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首页> 外文期刊>British journal of neurosurgery >Factors affecting the outcome of surgical evacuation of spontaneous deep intra cerebral bleeds
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Factors affecting the outcome of surgical evacuation of spontaneous deep intra cerebral bleeds

机译：影响自发性深部脑内出血的手术撤离结果的因素

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Background. Patients with spontaneous deep intra cerebral bleeds have a poor outcome where in the mortality range is from 32% to 50% and with only 10% being functionally independent after 30 days. The indications for surgical evacuation of spontaneous deep intra cerebral bleeds are poorly defined. The purpose of this study is to determine the factors associated with improved survival rates at 30 days following evacuation of deep intracerebral bleeds. Patients and methods. Patients treated with a mini frontotemporal craniectomy and evacuation of the hematoma between August 2008 and July 2010 were the subjects of the study. The factors associated with 30-day survival in relation to Age, the severity of the illness (calculated by GCS score), volume of the bleed (calculated by axbxc/2 method), timing of surgery, associated co-morbid illness (hypertension, diabetes mellitus) was evaluated. Results. Of the 55 patients entered in the study, 47% (n = 26) were alive at 30 days and 53% died (n = 29). Factors associated with survival following surgery were age less than 60 years, male gender, right-sided bleeds, GCS scores of 8/15, volume of bleeds less than 70 ml, and early surgery within 24 h following the ictus. Factors with no impact on surgical outcome include the presence of comorbid illness (hypertension, diabetes mellitus), (P = 0.247). Conclusion. Where surgical evacuation of spontaneous deep intracerebral bleeds is done, the earlier the surgery, the better the survival at 30 days.
机译：背景。自发性深部脑内出血的患者预后较差，死亡率范围为32％至50％，而30天后只有10％的患者在功能上独立。对自发性深部脑内自发性出血进行手术疏散的适应症定义不明确。这项研究的目的是确定与深层脑出血排空后30天存活率提高相关的因素。患者和方法。该研究的对象是2008年8月至2010年7月期间进行的迷你额颞部颅骨切除术和血肿清除术的患者。与年龄，疾病严重程度（通过GCS评分计算），出血量（通过axbxc / 2方法计算）相关的与30天生存率相关的因素，手术时机，相关的合并症（高血压，糖尿病）进行了评估。结果。在参加研究的55名患者中，有30％的人在30天时还活着，而有53％的人死亡（n = 29）。与手术后生存相关的因素包括年龄小于60岁，男性，右侧出血，GCS评分为8/15，出血量小于70 ml以及在发作后24小时内进行早期手术。对手术结果无影响的因素包括合并症（高血压，糖尿病）的存在（P = 0.247）。结论。进行自发性深部脑内出血的手术后，手术越早，在30天时的存活率越好。

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