Early management of aneurysmal subarachnoid hemorrhage.

摘要: The Lund Clinic serves a population of 1.46 million inhabitants. During the calendar year 1981, 72 patients presented with ruptured supratentorial aneurysm, diagnosed either at angiography or autopsy. Upon admission, 60% were in good condition and 40% poor condition. Eighty-three per cent admitted within hours after subarachnoid hemorrhage (SAH). In total series, 50% made recovery; overall management morbidity was 19% mortality 31%. Thirty-one Grades I-III underwent early operation (43% series), favorable outcome 74% 7% mortality. Of 35 who condition, 71% recovery, 9%. These figures may be compared to 51% 27% reported from Cooperative Aneurysm Study late operation. cases, incidence significant arterial narrowing postoperative performed on Day 9 +/- 2 SAH 30% permanent neurological deficits delayed onset 10%. Two developed symptomatic hydrocephalus.