高血圧性脳出血の手術成績よりみた手術時期の検討

概要

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Study of 63 operated cases of hypertensive intracerebral hematoma showed that the early operation within 1 to 2 days after onset was excellent, and also showed following results. (1) The recovery of motor function in early operated cases was much better than that of lately operated cases when localization and size of hematoma and its surrounding low density area are recognized as comparable on CT findings. (2) The mortality of early operated cases was better than that of lately operated cases, since severe complication increased rapidly over 3 days after the onset. (3) Surgical invasion, for example, the size of craniotomy and corticotomy, in the operation within 2 days was less than that in operation after 3 days. (4) The operation after 7 days from the onset must be abandoned in the case in which the low density area expanded posteromedially. (5) Since there was no advantage in mobility by the super-early operation, it was considered to be worthy to examine the patient carefully on cardiopulmonary and renal function before operation.