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Date Published: 21/06/2022
Abstract Views: 179
Views PDF: 262
DOI: https://doi.org/10.51298/vmj.v514i2.2605
Issue
Vol. 514 No. 2 (2022)
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Các bài báo
How to Cite
Hoàng Nhã, L. ., Đình Hùng K. ., & Kiến Vũ T. . (2022). ASSESSING THE OUTCOME OF SPONTANEOUS CEREBRAL HEMORRHAGE SURGERY AT TRA VINH GENERAL HOSPITAL IN 2019. Vietnam Medical Journal, 514(2). https://doi.org/10.51298/vmj.v514i2.2605

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

Main Article Content

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.

Article Details

Keywords

Idiopathic brain hemorrhage

References

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