ASSESSING THE OUTCOME OF SPONTANEOUS CEREBRAL HEMORRHAGE SURGERY AT TRA VINH GENERAL HOSPITAL IN 2019

Lê Hoàng Nhã1,, Kiều Đình Hùng2, Trần Kiến Vũ1
1 Tra Vinh General Hospital
2 Hanoi Medical University Hospita

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Abstract

Purpose: The study aimed to determine the ratio of clinical symptom, imaging results and spontaneous hemorrhagic brain surgery results at Tra Vinh General Hospital. Methods: We conduct a prospective study, describing a series of cases in 21 patients with idiopathic cerebral hemorrhage who had surgery in 2019. Survey of clinical symptoms of patients before surgery, assessing hemorrhage on CT-Scan, survey the postoperative results using the GOS index, evaluate the recovery of patients with Barthel index at discharge, 1 month and 3 months.    Results: In 21 cases of the study plot, there were 18 males and 3 females. The median age is 53 (34-79). Average GCS at admission is 7-8 (5-13), 10/21 patients have mydriasis, 19/21 hemiplegia, average maximum blood pressure is 190 mmHg, most patients have money history of hypertension and alcoholism, 5/21 admission before 4 hours. Average volume of hemorrhage is 95ml (75-200), 14/21 is <1 cm from the cortex. The death rate is 7/21 cases, GOS1 = 1; GOS2 = 7; GOS3 = 5; GOS4 = 1; GOS5 = 7, GCS> 10 had better results, the Barthel index after 3 months had a significant improvement (p = 0.02). Conclusion: Although the death rate after surgery is still high and leaves many consequences for patients, surgery in idiopathic cerebral haemorrhage is still an effective option when medical treatment fails.

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References

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