뇌실외 배액술을 시행한 뇌실내 출혈환자의 예후 분석
The Analysis of Prognostic Factors of IVH with EVD Treatment
소속 상세정보
김선환
송시헌/염진영/김관대/김윤
KMID : 0359819960250020381
Abstract
The author analyzed retrospectively 94 cases of spontaneous intraventricular hemorrhage (IVH) which were treated with external ventricular drainage (EVD) at the Department of Neurosurgery. Chungnam National University Hospital from January 1990
to
June
1994. In all cases. infusion of urokinase was attemped for effective drainage.
The peak age group of IVH patients were those in their sixth decade. but in primary IVH. younger patients were more frequently affected. The order of causes of primary IVH are hypertension. arteriovenous malformation. Moyamoya disease. and
cerebral
aneurysm. however. secondary IVH are mostly associated with hypertension and aneurysm.
The overall mortality rate was 38%. A low initial Glasgow coma scale (under 5) (p<0.001). a high Graeb score (over 10) (p=0.001). fourth ventricular hemorrhagic dilation (p=0.001). secondary IVH (p=0.009). unilateral or bilateral pupil fixation
at
the
preoperative stage (p<0.001) and long duration of EVD (p=0.045) are all poor prognostic factors associated with higher mortality.
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