甲磺酸去铁胺联合微创血肿溶解手术治疗脑出血

A. Pandey, B. Daou, N. Chaudhary, G. Xi
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引用次数: 10

摘要

脑出血与显著的发病率和死亡率相关。一些临床试验显示脑出血手术引流有获益的趋势,但没有明显的统计学意义。随后的研究集中在微创技术上。手术减少脑出血容量至≤15ml更有可能改善预后。去铁胺目前正被评估为脑出血的治疗工具,具有良好的效果。仍然缺乏一级证据支持脑出血后送的医疗和手术工具。微创手术联合血肿溶解和去铁胺是否能更有效地清除血肿?
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A combination of Deferoxamine mesylate and minimally invasive surgery with hematoma lysis for evacuation of intracerebral hemorrhage
Intracerebral hemorrhage is associated with significant morbidity and mortality. Some clinical trials demonstrated a trend towards benefit with surgical evacuation of intracerebral hemorrhage, without strong statistically significant results. Subsequent studies focused on minimally invasive techniques. Improved outcomes were more likely with surgical reduction of intracerebral hemorrhage volume to ≤15 mL. Deferoxamine is currently being evaluated as a therapeutic tool in intracerebral hemorrhage with promising results. There continues to be a lack of level I evidence supporting medical and surgical tools for intracerebral hemorrhage evacuation. Could a combination of minimally invasive surgery with hematoma lysis and Deferoxamine result in more effective hematoma evacuation?
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