KẾT QUẢ ĐIỀU TRỊ MỞ SỌ GIẢM ÁP Ở NGƯỜI BỆNH NHỒI MÁU NÃO DIỆN RỘNG TẠI TRUNG TÂM ĐỘT QUỴ TỈNH PHÚ THỌ

Abstract

Cerebral stroke is one of the common causes of long-term disability, significantly impacting patients' quality of life and imposing a substantial burden on families and society. Malignant cerebral infarction is a severe pathological condition associated with a high mortality rate. In Vietnam, decompressive craniectomy for large hemispheric infarction has primarily been adopted by major hospitals equipped with Neurosurgery and large Stroke Centers. This study evaluated the outcomes of decompressive craniectomy in patients with large hemispheric infarction at Phu Tho Provincial Stroke Center. The results from a cohort of 48 patients were as follows: The mortality rate was 16,7% at the time of discharge and 25% at 90 days. The rate of patients with an accepctable clinical outcome, defined as an mRS score of 3 at 90 days, was 18,8%. The mean time from stroke onset to surgery in the study was 22,7 hours, with 70,8% of patients undergoing surgery within 24 hours. Post-surgery, 56,3% of patients showed clinical and cranial CT scan improvement.