重篤な内科的合併症を有する高血圧性脳内出血に対する手術適応について

概要

論文の詳細を見る
Clinical problems in the surgical evacuation of hypertensive intracerebral hemorrhages (ICH) in cases associated with severe renal dysfunctions were discussed from our experience in 3 illustrative instances.<BR>ICH should be considered to be a part of symptoms caused by general vascular change mostly due to renal factors, and should always be associated to some extent with renal dysfunctions.<BR>The evacuation of a hematoma by craniotomy-even in cases with notable renal dysfunctions-seems to bring on clinically meaningful results if the renal functions are considered in osmotherapy and if the fluid intake and general internal medical care are considered in the pre-, intra-, and postoperative periods.
The Japanese Society on Surgery for Cerebral Strokeの論文