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Minimally invasive thalamic hematoma drainage can improve the six-month outcome of thalamic hemorrhage

Journal of Geriatric Cardiology 2017年第4期14卷 266-273页

作者： Wen-Ming LIU Xue-Guang ZHANG Ze-Li ZHANG Gang LI Qi-Bing HUANG Department of Emergency Surgery Qilu Hospital of Shandong University and Brain Science Research Institute of Shandong University Jinan ShandongChina Department of Neurosurgery Liaocheng People's Hospital Liaocheng Shandong China Department of Neurosurgery Qilu Hospital of Shandong University and Brain Science Research Institute of Shandong University Jinan Shandong China

Objective To explore predictors of the 6-month clinical outcome ofthalamic hemorrhage, and evaluate if minimally invasive thalamic hematoma drainage （THD） could improve its prognosis. Methods A total of 54 patients with spontaneous thalamic hemorrhage were evaluated retrospectively. Clinical data, including demographics, stroke risk factors, neuroimaging variables, Glasgow Coma Score （GCS） on admission, surgical strategy, and outcome, were collected. Clinical outcome was assessed using a modified Rankin Scale, six months after onset. Univariate analysis and multivariate logistic regression analysis were performed to determine predictors of a poor outcome. Results Conservative treatnaent was performed for five patients （9.3%）, external ventricular drainage （EVD） for 20 patients （37.0%）, THD for four patients （7.4%）, and EVD combined with THD for 25 patients （46.3%）. At six months after onset, 21 （38.9%） patients achieved a favorable outcome, while 33 （61.1%） had a poor outcome. In the univariate analysis, predictors of poor 6-month outcome were lower GCS on admis- sion （P = 0.001）, larger hematoma volume （P 〈 0.001）, midline shift （P = 0.035）, acute hydrocephalus （P = 0.039）, and no THD （P = 0.037）. The independent predictors of poor outcome, according to the multivariate logistic regression analysis, were no THD and larger hematoma volume. Conclusions Minimally invasive THD, which removes most of the hematoma within a few days, with limited damage to perihematomal brain tissue, improved the 6-month outcome of thalamic hemorrhage. Thus, THD can be widely applied to treat patients with thalamic hemorrhage.

关键词： hematoma volume Minimally invasive Outcome Predictor Thalamic hematoma drainage Thalamic hemorrhage

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A comprehensive review and outlook on risk factors of type A aortic intramural hematoma

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South China Journal of Cardiology 2023年第1期24卷 50-59页

作者：刘耀荣刘杰甄健帆孙图成 Guangdong Cardiovascular Institute Guangdong General HospitalGuangdong Academy of Medical SciencesGuangzhou 510080China

Background:Type A aortic intramural hematoma(IMH)is characterized by aortic lesions involving the ascending aorta and aortic arch,with no detectable intimal tear on imaging,no true or false lumen,and no direct communication between the hematoma and the vascular *** typical pathological changes present as annular or crescent-shaped thickening of the ascending aortic *** to the substantially higher risk associated with Type A IMH compared to Type B IMH,treatment approaches vary across countries and medical centers,with the primary treatment strategies being closely related to surgical *** risk factors for Type A IMH mainly focused on aortic diameter and hematoma thickness;however,our research group is the first to consider hematoma volume as a risk *** article provides a comprehensive review of Type A IMH and an outlook on its risk factors.

关键词： TypeAaortic intramural hematoma hematoma volume treatment strategies

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Extreme temperature increases the severity of intracerebral hemorrhage: An analysis based on the cold region of China

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Frigid Zone Medicine 2022年第3期2卷 178-185页

作者： Xun Xu Chunyang Liu Rui Liu Qiuyi Jiang Enzhou Lu Chao Yuan Yanchao Liang Huan Xiang Boxian Zhao Xin Chen Ailing Lian Qi Zhou Guang Yang Department of Neurosurgery the First Affiliated Hospital of Harbin Medical UniversityHarbin 150001China Institute of Brain Science Harbin Medical UniversityHarbin 150081China Department of Nursing the First Affiliated Hospital of Harbin Medical UniversityHarbin 150001China Research Administration Office the First Affiliated Hospital of Harbin Medical UniversityHarbin 150001China

Objective:The purpose of this study was to find a suitable model to evaluate the relationship between temperature and intracerebral hemorrhage(ICH)and explore the effects of cold spells and heat waves on the clinicopathological parameters of ICH ***:We conducted a retrospective study based on the ICH admission in the First Affiliated Hospital of Harbin Medical University from 2015 to 2020(N=11124).The relationship between different seasons and the number of patients with ICH was *** Akaike information criterion(AIC)was used to select the optimal model for temperature and *** logistic regression analysis was used to investigate the association between extreme temperatures and clinicopathological ***:Hospital admissions for patients with ICH showed monthly *** optimal cold spell was defined as the daily average temperature97th percentile,lasting for three *** on the generalized extreme weather model,cold climate significantly increased the risk of hematoma volume expansion(OR 1.003;95%CI:1.000-1.005,P=0.047).In the optimal model,the occurrence of cold spells and heat waves increased the risk of midline shift in both conditions(OR 1.067;95%CI:1.021-1.115,P=0.004;OR 1.077;95%CI:1.030-1.127,P=0.001).Conclusion:Our study shows that seasonal cold spells and heat waves are essential factors affecting ICH severity,and targeted preventive measures should be taken to minimize the pathological impacts.

关键词： ambient temperature intracerebral hemorrhage hematoma volume midline shift

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