Dexamehasone as Treatment Cerebrovascular Disease. 1 A Controlled Study in Intracerebral Hemorrhage

被引:101
作者
Tellez, Henry [1 ]
Bauer, Raymond B. [1 ]
机构
[1] Wayne State Univ, Sch Med, Dept Neurol, Detroit, MI 48201 USA
关键词
CSF pressures in intracerebral hemorrhage; GI bleeding with steroid therapy; steroid effect on increased CSF pressure;
D O I
10.1161/01.STR.4.4.541
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Dexamethasone and a placebo were compared as treatment for 40 patients with intracerebral hemorrhage. Of 19 patients receiving dexamethasone, 17 (89.5%) died during their hospital admission. Of 21 patients receiving a placebo, 16 (76.2%) died. The mortality rate was 100% in 15 patients in the dexamethasone-treated group who were in coma or deep stupor on admission, and the mortality rate was 92% in 12 patients with similar levels of consciousness who received a placebo. Several parameters of the neurological examination showed an improved quality of survival in the Decadron (R)-treated group, but this was found only at certain days in the study. No overall statistically significant difference was found between the two therapies.
引用
收藏
页码:541 / 546
页数:6
相关论文
共 7 条
[1]  
Cantu R C, 1968, Int Surg, V50, P325
[2]   MEDICAL TREATMENT OF SPONTANEOUS INTRACRANIAL HEMORRHAGE BY USE OF HYPOTENSIVE DRUGS [J].
MEYER, JS ;
BAUER, RB .
NEUROLOGY, 1962, 12 (01) :36-&
[3]  
Roberts HJ, 1965, J AM GERIATR SOC, V6, P686
[4]   THE INFLUENCE OF ADRENOCORTICAL STEROIDS ON SEVERE CEREBROVASCULAR ACCIDENTS [J].
RUBINSTEIN, MK .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1965, 141 (03) :291-299
[5]  
RUSSEK HENRY I., 1954, JOUR AMER GERIAT SOC, V2, P216
[6]   CORTISONE IN IMMEDIATE THERAPY OF APOPLECTIC STROKE [J].
RUSSEK, HI ;
RUSSEK, AS ;
ZOHMAN, BL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1955, 159 (02) :102-105
[7]  
SPARACIO RR, 1965, SURG GYNECOL OBSTETR, V121, P513