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KMID : 0374919940150030453
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Inje Medical Journal
1994 Volume.15 No. 3 p.453 ~ p.460
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Clinical Study fo Stereotaxic Evacuation in Spontaneous Intracerebral Hematoma
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최병욱
이선일/정용태/김수천/심재홍
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Abstract
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To evaluate indications of stereotaxic evacuation of spontaneous intracerebral hematoma, we reviewed 100 patients of spontaneous intracerebral hematoma treated with C. R. W. (Cosman-Roberts-Wells) stereotaxic instrument.
WE analysed mortality, rebleeding rate and clinical outcome according to volume
of hematoma, anatomical location of hematoma, time from attack to start the operation and initial G. C. S. (Glasgow Coma Scale).
@ES We concluded as followings;
@EN 1) There was no contraindication according to anatomical location of hematoma even in brain stem and posterior fossa.
2) The golden time from attack to start of operation seemed to be as early as possible although the meticulous care was required for prevention of rebleeding at operation performed with 8 hours from attack.
3) The rebleeding rate was the highest (16.7%) in thalamic hematoma.
4) The combined intraventricular hemorrhage was also manageable with operation and the frequency of the combined intraventricular hemorrhage was the highest (55.6%) in thalamic hematoma.
5) Low initial G. C. S. was not definitive contraindication although final end-result was not so satisfactory.
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KEYWORD
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