The Correlations between the Hematoma Volume and the Changes of ICP, Blood Pressure & Prognosis in the Spontaneous Intraparenchymal Hemorrhage.
- Author:
Dong Soo NAM
1
;
Sam Kyu KO
;
Oh Lyong KIM
;
Yong Chul CHI
;
Byung Yearn CHOI
;
Soo Ho CHO
Author Information
1. Department of Neurosurgery, College of Medicine, Yeungnam University, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Spontaneous intracerebral hematoma;
Intracranial pressure;
ADL;
GCS
- MeSH:
Activities of Daily Living;
Arterial Pressure;
Blood Pressure*;
Early Diagnosis;
Hematoma*;
Hemorrhage*;
Humans;
Intracranial Pressure;
Prognosis*;
Tomography, X-Ray Computed;
Urokinase-Type Plasminogen Activator
- From:Journal of Korean Neurosurgical Society
1992;21(1):42-48
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The development of CT scan and stereotaxic surgery with urokinase irrigation made possible early diagnosis and improved survival in the patients of spontaneous intraparenchymal hemorrhage. We had clinically reviewed and analyzed 30 patients of stereotactically treated spontaneous intraparenchymal hemorrhage, according to the hematoma volume, ICP, wital signs, GCS and prognosis. The results were summarized as follows: 1) As the hematoma volume increasing, ICP was also increased(p<0.05). 2) The systolic arterial pressure was increased as the hematoma volume increasing(p<0.05). 3) Mean ADL was 55(26% and ADL level were decreased in cases of large hematoma(p<0.05). 4) As the hematoma volume increasing, the level of verbal GCS and total GCS was low(p<0.1). 5) No significant correlation was noted between the hematoma volume and complications(T test).
