CTスキャンによる血腫量の測定:-血腫量および出血部位と予後との関連について-

概要

論文の詳細を見る
On the hypertensive intracerebral hematoma the hematoma volume on CT scan was estimated by Delta 50 unit with MAP-program, and correlation with neurological deficits and progonosis were investigated. Consciousness remained alert when the hematoma was less than 15ml in putaminal hemorrhages, and also less than 20ml in combined and subcortical hemorrhages. All of these patients recovered well without surgical intervention. On the other hand, when the hemorrhages were located at thalamic region consciousness deterioration was noted with minimal hematoma such as 5ml, and prognosis was fair to poor. On the subcortical hemorrhages the volume of hematoma was relatively larger (mean volume 25.6ml), but consciousness least disturbed and the prognosis was relativley good.<BR>The hematoma volume estimated on CT scan at putaminal, thalamic, combined and subcortical group was correlated well with consciousness level and the prognosis, and was judged as very useful guide when considering surgical intervention.
The Japanese Society on Surgery for Cerebral Strokeの論文