立体定向抽吸引流术治疗大面积脑叶出血和脑疝(英文)

被引：7

作者：

毛群

勾俊龙

Shalina S. Ousman

David Huang

刘宗惠

机构：

[1] 天津市第三医院神经外科

[2] Department of Neuropharmacology

[3] Scripps Research Institute

[4] CA

[5] USA

[6] Holland Laboratory

[7] American Red Cross

[8] Rockville

[9] MD

[10] 海军总医院神经外科

[11] 北京

来源：

国外医学(脑血管疾病分册) | 2005年 / 01期

关键词：

动静脉畸形; 开颅术; 脑疝; 脑出血; 立体定向抽吸术; 溶栓; 尿激酶;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

1002 ;

摘要：

43岁男性,诊断为占位性左侧枕叶出血,血肿破入整个脑室系统。入院时处于深昏迷状态,有脑疝的临床体征,Glasgow昏迷量表评分4分。由于患者年龄较轻且无高血压史,因此高度怀疑存在血管畸形。鉴于患者存在生命危险,医生建议将开颅和血肿清除术作为首选治疗方案,但被其家属以非医疗原因拒绝。为挽救患者的生命,决定行立体定向抽吸术,并得到患者家属认可。在操作过程中和操作后5d内应用了大剂量尿激酶(50 000IU)治疗。1个月后,该患者转归良好,Glasgow转归量表评分为5分。

引用

页码：66 / 69

页数：4

共 7 条

[1]

Teernstra OP,Evers SM,Lodder J,et al.Stereotactic treatment of intracerebral hematoma by means of a plasminogenactivator: a multicenter randomized controlled trial ( SICHPA). Stroke . 2003

[2]

Montes JM,Wong JH,Fayad PB,et al.Stereotactic computed tomographic-guided aspiration and thrombolysis of intracerebral hematoma:protocol and preliminary experience. Stroke . 2000

[3]

Shah MV,Biller J.Medical and surgical management of intracerebral hemorrhage. Seminars in Neurology . 1998

[4]

Ogilvy CS,Stieg PE,Awad I,et al.AHA Scientific Statement: Recommendations for the management of intracranial arteriovenous malformations: a statement for healthcare professionals from a special writing group of the Stroke Council, American Stroke Association. Stroke . 2001

[5]

Clusmann H,Schaller C,Schramm J.Fixed and dilated pupils after trauma, stroke, and previous intracranial surgery: management and outcome. Journal of Neurology Neurosurgery and Psychiatry . 2001

[6]

Gou JL,Mao Q,Xing FM,et al.Clinical analysis of 60 cases of hypertensive intracerebral hemorrhage treated by stereotactic technique. Chinese Journal of Neurotherapy . 2003

[7]

Neurology[C]. The 5th International Congress of Pathophysiology,2006

← 1 →