Xuất huyết não tự phát trên lều có tỷ lệ tàn phế và tử vong cao. Vai trò đích thực của can thiệp phẫu thuật đến ngày nay còn chưa rõ ràng, các số liệu của một nghiên cứu quốc tế về xuất huyết não tự phát cũng chưa làm sáng tỏ câu hỏi khó khăn này. Bài viết trình bày đặc điểm lâm sàng và kết quả phẫu thuật 40 bệnh nhân xuất huyết não trên lều tự phát tại bệnh viện đa khoa An Giang 2006-2009. | ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ PHẪU THUẬT XUẤT HUYẾT NÃO TỰ PHÁT TRÊN LỀU 40 TRƯỜNG HỢP TẠI BỆNH VIỆN ĐA KHOA AN GIANG Lê Tấn Nẫm Nguyễn Minh Tâm Trương Triều Phong Trương Thúy Lan Nguyễn Văn Sách Bệnh viện An giang Abstract A report of 40 spontaneous supratentorial intracerebral SSIH hemorrhagic patients clinical characteristics and result of surgical treatment in An Giang General Hospital from the year of 2006 to 2009. BACKGROUND The morbidity and mortality rates of patients with SSIH were high. The role of surgery for patients with SSIH is currently not clear and the results from the International Surgical Trial in intracerebral hemorrhage have not clarified this challenging question. The results of studies in Viet Nam suggest that surgical treatment for SSIH were benefiting in some patients. Purpose Describing the clinical characteristics and determining the mortality rates of operated patients suffering from SSIH. METHOD AND PATIENTS A cohort study of one group including 40 SSIH patients were surgical treatment from 2006 to 2009 and were follow-up in 6 months. Operative technique Decompression standard cranioectomy and hematoma evacuation. RESULTS There were 24 men and 16 women ictus was present in 100 of patients average GCS was mean age and SD was yrs hypertension was observed in mean and SD of hematoma volume was ml 6 patients had ASA with grade II and 34 patients had ASA with grade III lobe hematoma presented in 9 and internal capsule in 31 patients timing Operated within 48 hrs in 29 and after 48 hrs in 11 death rate was . CONCLUSION Mortality rate at 6-months follow-up was 11 patients . Hematoma volume and GCS were significantly different between alive and died patients. Others factors were not significantly different. The patient with lobe hematoma GCS gt 9 volume of hematoma lt 40 ml and ASA lt III had good outcome. Recommendation Surgical treatment has an important role in management of SSIH particularly
