论文部分内容阅读
作者于1981年调查了日本189个医疗单位对高血压性脑出血患者施行外科手术疗法的情况。全部病例均经CT检查确诊。共计调查5,255例,其中包括壳核出血3,216例,占61.2%(平均49.8岁);皮质下出血945例,占18%(平均55.5岁);丘脑出血639例,占12.2%(平均58.3岁);小脑出血396例,占7.5%(平均60.4岁);桥脑出血59例,占1.1%(平均52.9岁)。这样大规模的调查报告,在国际上也是比较少见的。作者将各部位出血病例,分别就其年龄、手术时机、手术方法并且按其神经症状严重程度及CT检查所见进行分类(分类法见表1、2、3),分析了与死亡率及功能恢复的关系。功能恢复分为优、佳、劣三种。优系指完全或部分恢复工作、生活可以自理;佳系指生活需要他人帮助;劣系指卧床不起及植物性生存者。重点讨论了壳核出血的问题,桥脑出血病例较少,未加分析讨论。
In 1981, the authors investigated the surgical treatment of hypertensive intracerebral hemorrhage in 189 Japanese medical units. All cases were confirmed by CT examination. A total of 5,255 cases were investigated, including 3,216 cases of putamen (61.2%) (mean 49.8 years); 945 cases of subcortical hemorrhage (18.5%), and 639 cases of thalamic hemorrhage (12.2% ; 396 cases of cerebellar hemorrhage, accounting for 7.5% (average 60.4 years); 59 cases of pontine hemorrhage, accounting for 1.1% (mean 52.9 years). Such a large-scale survey report is also relatively rare in the world. The authors classify cases of hemorrhage in each area and classify them based on their age, timing of surgery, surgical procedure, and their severity of neurological symptoms and CT findings (for the classification, see Tables 1, 2 and 3), the author analyzes mortality and function Recovery of the relationship. Functional recovery is divided into excellent, good, poor three. Excellent refers to the complete or partial restoration of work, life can take care of themselves; Good refers to the life needs of others to help; poor refers to bedridden and plant survival. Focus on the issue of putamen bleeding, less cases of pontine hemorrhage, without analysis and discussion.