Differentiated approach in the treatment of hemorrhagic stroke

Sh. A. Turdiboev, R. Berdiev, B. A. Rahmonov
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Abstract

Aim. To improve the results of patients’ treatments with hemorrhagic stroke.Materials and methods. The results of the treatments of the 156 patients with hemorrhagic strokes were analyzed, among them 85 (55,5%) men and 71 (44,5%) women. The ages of the patients varied from 18 to 78.Results and discussions. According to the location of the non-traumatic intracerebral hematoma, they were distributed in the following way: in the frontal lobe -11 (7.1%), in the occipital lobe - 8 (5,1%), in the hemispheres of the cerebellum -15 (9/6%), in the ventricles of the brain -26 (16.7%) and the parietotemporal lobes - 96 (61,5%). In 25 cases patients were delivered in a conscious state (GCS-15 points) 28 injured patients were moderately stunned (GCS-13 points), deep stun was observed in 36 (23.1%) patients (GCS-12 points), soporific consciousness was observed in 31 (19.8%) patients (GCS-9 points), moderate coma in 27 (17.3%) cases (GCS-7points) and in 9 (5.8%) patients it was rated as a deep coma (GCS-6 point).Conclusion. Neuroimaging bean methods of the survey give an opportunity to adequately evaluate tactics for treating patients with intracerebral hematoma. The differentiated approach in treating patients with hemorrhagic strokes positively affects the result of the given category of patients.
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出血性脑卒中的鉴别治疗
的目标。目的:提高出血性脑卒中患者的治疗效果。材料和方法。对156例出血性中风患者的治疗结果进行分析,其中男性85例(55.5%),女性71例(44.5%)。患者年龄从18岁到78岁不等。结果和讨论。非外伤性脑内血肿按部位分布:额叶-11例(7.1%),枕叶- 8例(5.1%),小脑半球-15例(9/6%),脑室-26例(16.7%),顶叶- 96例(61.5%)。25例患者清醒(GCS-15分),28例患者中度昏迷(GCS-13分),36例(23.1%)患者深度昏迷(GCS-12分),31例(19.8%)患者有催眠意识(GCS-9分),27例(17.3%)患者中度昏迷(gcs -7分),9例(5.8%)患者深度昏迷(GCS-6分)。神经影像学方法的调查提供了一个机会,以充分评估治疗脑内血肿患者的策略。出血性脑卒中患者的差异化治疗对患者的治疗效果有积极影响。
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