[颅内出血内镜手术中术中使用甘露醇的益处]。

Masui. The Japanese journal of anesthesiology Pub Date : 2017-02-01

Tatsuya Kida, Atsuhiko Kubo, Teisei Kobashi, Masakazu Sumitomo

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引用次数: 0

摘要

背景:内镜下血肿清除术是脑出血(ICH)患者的治疗选择。本研究的目的是探讨在内镜下血肿清除术中使用甘露醇的益处。方法:对2009年6月至2014年11月行内窥镜手术治疗的100例脑出血患者进行回顾性分析。将患者分为甘露醇给药组(n=19)和非给药组(n=81)。结果:两组患者背景、手术时间、术中出血量、残留血肿、再手术、术后30天死亡率差异无统计学意义。结论:颅内出血内镜手术中术中使用甘露醇没有明显的临床益处。

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[Benefit of Intraoperative Mannitol Use during Endoscopic Surgery for Intracerebral Hemorrhage].

Background: Endoscopic hematoma evacuation is an established treatment option for patients with intra- cerebral hemorrhage (ICH). The purpose of this study is to investigate the benefit of mannitol use during en- doscopic hematoma evacuation.

Methods: One hundred patients with ICH treated by endoscopic surgery from June 2009 to November 2014 were retrospectively reviewed. We divided them into mannitol administered group (n=19) and non- administered group (n=81).

Results: As for the patient background, surgical time, amount of intraoperative bleeding, residual hema- toma, re-operation and postoperative 30-day mortality, no significant differences were found between the two groups.

Conclusions: There was no clear clinical benefit of intraoperative mannitol use during endoscopic surgery for ICH.

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