自发性小脑出血90例临床分析(2)
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Ott[1]报告本病意识清楚者药物治疗病死率50% ,手术治疗病死率25%;昏迷者药物治疗病死率95%,手术病死率为75%。本组内科治疗死亡4例,占5 97%,存活的86例中43例随访1年2个月~4年,8例因出血量较小、位于半球位置,恢复正常,无任何后遗症。生活能自理12例,生活基本自理18例,5例出院1~2年后死于心肌梗塞,提示小脑出血只要早期诊断、及时治疗,预后良好,
参考文献
[1] OttKM Cerebellar hemorrhage: diagnosis and treatmenArch Neurl 1974, 31:60
[2] Little JR Cerebellar hemorrhage in adults: diagnosis by computerized tomographyJ Neurosurage,1978,48:575
[3] Brennan RW Acute cerebellar hemorrhage analysis of clinic findings and outcome in 12 casesNeurol,1977,27:527
[4] ShinichiYashidaHypertenisive cerebellar hemorrhage and cerebellar hemorrhage ca-used by cryptic angionma: analysis of clinical observation CT findings and outcome Neurol Med Chir 1981,21:736
[5] Fisher CM Acute hypertensive cerebellar hemorrhage: diagnosis and surgical tretment J Nerv Ment Dis 1965,140:38
[6] 李庆彬自发性小脑出血诊疗的初步经验 中华神经外科杂志, 1987,3:200
[7] Donsure E,Loew F,Faubert C,et alPrognostic facions in tretment of cerebellar hemorrhageActa Neurochir 1994,131:56
(收稿日期 2006-04-13)(编辑 艾 拓)
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