자발성 뇌실내출혈 환자에서 뇌실의 배액술의 임상적 고찰
The Clinical Analysis of EVD of the Spontaneous Intraventricular Hemorrhage.
소속 상세정보
문희태
하은주/이종수/이승재/박효일
KMID : 0359819940230020167
Abstract
The authors analyses retrospectively 41 cases of spontaneous IVH(intraventricular hemorrhage) which were treated with EVD(extraventricular drainage). In cases of poor drainage of CSF(cerebrospinal fluid) through the EVD catheter, infusion of
urokinase
was tried.
The most common age groups of IVH patients were the 5th and 6th decades.
Sexual incidence was 23 : 18 in male vs. Female.
The etiologies of the spontaneous IVH in order of frequency were hypertension, aneurysm rupture, AVM.
The overall mortality rate was 49%, but a poor outcome was noted in 64% of the cases.
The cases of high Graeb score & low GCS(Glasgow coma scale) score on admission showed poor outcome.
Incidence of complication was 27%.
Ventriculostomy was effective in many cases of IVH, especially in the early stage of stroke
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