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SUMMARY OF EVALUATION AND SURGICAL TREATMENT OF HEMORRHAGIC STROKE.
Authors: M.Yu. Biryuchkov
Number of views: 414
Stroke is one of the leading causes of death. Every
7th patient with hemorrhagic stroke is the nature of apoplexy,
from which the mortality rate is 40-50%, and disability
of 75%, and 10% disabling patients are bedridden.
The disease is great social nature, as is common among
working-age population.
Despite the absence to date have proved the benefits
of surgical treatment over conservative in the past
three decades, neurosurgeons conducted an active search
for and introduction of new methods of treatment of primary
intracerebral hematomas. The introduction of puncture
operations to minimize additional trauma of the brain
during hematoma removal and, consequently, fast start-up
treatment because patients do not require long periods of
time in intensive care, in contrast to patients who underwent
open surgery. That is, patients with extravasations
have the most pronounced neurological deficit and require
prompt action to eliminate it.
Thus, the admission of patients to specialized neurosurgical
department, the proper selection of patients for
surgery, the use in surgery minimally invasive surgery and
a stroke of modern technology postoperative mortality does
not exceed 25%, and the time from diagnosis to the possibility
of a complete rehabilitation therapy is 1.5-2 weeks.
Key words: hemorrhagic stroke, spontaneous intracerebral
hematomas, surgical treatment, brain.