查詢結果分析
來源資料
相關文獻
- Factors Influencing Postoperative Prognosis of Traumatic Acute Subdural Hematoma: Especially from Viewpoints of Computerized Tomography
- Detection of Subarachnoid Hemorrhage at Acute and Subacute/Chronic Stages: Comparison of Four Magnetic Resonance Imaging Pulse Sequences and Computed Tomography
- A Case of Chronic Subdural Hematoma Detected in an Asymptomatic Patient during Health Checkup
- Xenon Ventilation Scan as a Functional Assessment in Bronchiectasis
- 二氧化碳顯影電腦斷層與二氧化碳顯影超音波於肝臟腫瘤之比較
- CT Angiography for Detecting Intracranial Occlusive Arterial Disease: Various Parameters
- Reopening of Patent Urachus during Pregnancy
- Primary Malignant Fibrous Histiocytoma of Lung: A Case Report
- Computed Tomographic Angiography Detection of Active Spontaneous Intracerebral Hemorrhage
- Fractal Image Coding Using Projection-Based Classification and Variable Shape Matching
頁籤選單縮合
題名 | Factors Influencing Postoperative Prognosis of Traumatic Acute Subdural Hematoma: Especially from Viewpoints of Computerized Tomography=外傷性急性硬腦膜下血腫影響術後預後的因子尤其從電腦斷層的觀點來探討 |
---|---|
作者 | 楊之東; 高明見; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 33:6 民89.11-12 |
頁次 | 頁273-280 |
分類號 | 416.291 |
關鍵詞 | 硬腦膜下血腫; 電腦斷層; 功能性復原; 蛛網膜下出血; Subdural hematoma; Functional recovery; Subarachnoid hemorrhage; |
語文 | 英文(English) |
中文摘要 | 急性硬腦膜下血腫即使在現在仍然是高死亡率及高罹病率的傷害。很多預後因子被研究,包含病人的年齡,手術前的神經功能狀態及電腦斷層結果,以及手術的時效。本研究包含七十二位被同一位神經外科醫師于術的急性硬腦膜下血腫病患,其中百分之五十六的病患得到功能性的復原,也就是在Glasgow outcome scale上,復原良好或只有中度障礙。我們的病人大多數是在傷害後四小時內接受手術。年齡,瞳孔反應,血塊的厚度,及中線移位的大小跟預後有很大的關係。中腦附近腦池的狀況跟預後也有很大的關係。在電腦斷層顯示中腦附近腦泄不見的病患中,只有百分之三十一的患者得到功能性的復原;而中腦附近腦地正常的患者中有百分之七十七的患者得到功能性的復原。但是手術前是否合併蛛網膜下出血跟預後無關,或許是我們的病人很早就接受手術。 |
英文摘要 | Acute subdural hematoma (SDH) still carries a high mortality and morbidity injury even nowadays. Many prognostic factors were studied in this communication, including patient's age, neurological function and CT finding before operation, and timing of operation. A total of 72 patients with acute SDH who have been operated by the same neurosurgeon were studied, and 56% had a functional recovery rated good or moderate disability with the Glasgow outcome scale. Most of our patients underwent operation within 4 hours after trauma. Age, pupillary response, hematoma thickness, and midline shift were in strong correlation with the prognosis of patients having acute SDH. Mesencephalic cisterns condition also had a strong correlation to the prognosis. Of those patients with complete loss of cisterns, only 31 % had a functional recovery; of those patients with normal cisterns, 77% had a functional recovery. But subarachnoid hemorrhage (SAH) before operation had no correlation to the prognosis, maybe due to early operation in our series. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。