Аннотация

Таҳқиқот 24 беморро бо хунравии дохили меъдача, ки дар натиҷаи сактаи геморрагикӣ рух додааст, дар бар мегирифт. Аз 24 бемори дохилшуда 11 нафар зан (45.8%) ва 13 нафар мард (54.2%) буданд. Синну соли миёна 55.7 ± 10.5 сол буд. Ҳамаи беморони қабулшуда томографияи фаврии компютерии мағзи сарро анҷом доданд ва сканҳои минбаъдаи компютерӣ мувофиқи нишондод ба таври динамикӣ такрор карда шуданд. Ҳангоми қабул, васеъшавии системаи меъдачаҳо (мувофиқи маълумоти томографияи компютерӣ) дар 17 бемор (70.8%) муайян карда шуд. Дар байни бемороне, ки дар давраи шадид ҷарроҳии фаврӣ анҷом  доданд, 45.8% танҳо мудохилаҳои декомпрессивӣ, ки барои барқарор кардани гардиши моеъи мағзи сар равона карда шудаанд, анҷом доданд. Бемороне, ки дренажи берунаи меъдачаҳои насбшуда доштанд, терапияи фаъоли ислоҳии моеъи мағзи сарро анҷом доданд.
Дар сактаи геморрагӣ бо воридшавии хун ба системаи меъдачаҳо, декомпрессияи саривақтии моеъи мағзи сар махсусан муҳим аст. Ҷойгир кардани дастгоҳи нейроэндоскопӣ (NED) дар беморони кома бо хунравии шадиди дохили меъдача (IVH) имкон дод, ки шуур зуд беҳтар шавад ва гемодинамика устувор гардад ва роҳро барои табобати марҳилавии минбаъда ҳамвор кунад. 
 

Калимаҳои калидӣ

сактаи геморрагӣ фишори моеъи мағзи сар томографияи компютерӣ.

Матни пурра

Боргирӣ кардани мақола дар PDF

Версияи пурраи мақола дар формати PDF

Феҳристи манбаъ

  1. Шестериков ЯА, Петросян КГ, Цилина СВ, Говорова НВ. Сравнительная оценка эффективности хирургического лечения больных с нетравматическими внутричерепными кровоизлияниями. Практическая медицина. 2022;16(9):141–145. https://doi.org/10.32000/2072-1757-2018-9-141-145
  2. Essibayi MA, Ibrahim Abdallah O, Mortezaei A, Zaidi SE, Vaishnav D, Cherian J et al. Natural History, Pathophysiology, and Recent Management Modalities of Intraventricular Hemorrhage. J Intensive Care Med. 2024;39(9):813–819. https://doi.org/10.1177/08850666231204582.
  3. Woo D, Comeau ME, Venema SU, Anderson CD, Flaherty M, Testai F. et al. Risk Factors Associated With Mortality and Neurologic Disability After Intracerebral Hemorrhage in a Racially and Ethnically Diverse Cohort. JAMA Netw Open. 2022;5(3):e221103. https://doi.org/10.1001/jamanetworkopen.2023.1103.
  4. Ганиева МТ, Тоджиддинов ТБ, Хошимов РА. Эпидемиология мозгового инсульта в Гиссарском районе Республики Таджикистан. Вестник Авиценны. 2019;21(2):253-7. http://dx.doi.org/10.25005/2074-0581-2019-21-2-253-257.
  5. de Oliveira Manoel, A.L. Surgery for spontaneous intracerebral hemorrhage. Crit Care. 2022; 24(45). https://doi.org/10.1186/s13054-020-2749-2.
  6. Beck J, Fung Ch, Strbian D, Bütikofer L, Z'Graggen WJ, Lang MF et al. Decompressive craniectomy plus best medical treatment versus best medical treatment alone for spontaneous severe deep supratentorial intracerebral haemorrhage: a randomised controlled clinical trial. The Lancet. 2024;403(10442):2395 - 2404. https://doi.org/10.1016/S0140-6736(24)0072-5.
  7. Rennert RC, Tringale K, Steinberg JA, Warnke P, Konety I, Sand LA et al. Surgical management of spontaneous intracerebral hemorrhage: insights from randomized controlled trials. Neurosurg Rev. 2021;43(3):999-1006. https://doi: 10.1007/s10143-019-01115-2.
  8. Pradilla G, Ratcliff JJ, Hall AJ, Saville BR, Allen JW, Paulon G et al. ENRICH trial investigators; ENRICH Trial Investigators. Trial of Early Minimally Invasive Removal of Intracerebral Hemorrhage. N Engl J Med. 2024;390(14):1277-1289. https://doi.org/10.1056/NEJMoa2308440.
  9. Huan J, Yao M, Ma Y, Mei F, Liu Y, Ma L et al. Surgical interventions for spontaneous supratentorial intracerebral haemorrhage: a systematic review and network meta-analysis. EClinicalMedicine. 2024;79:102999. https://doi.org/10.1016/j.eclinm.2024.102999
  10. Zhu H, Zhang Y, Huang Y, Li Q, Wang W, Lin S. et al. Surgical interventions for spontaneous supratentorial intracerebral haemorrhage: a systematic review and network meta-analysis. eClinicalMedicine. 2024;79:102989. https://doi.org/10.1016/j.eclinm.2023.102989.
  11. Guo C, Bai Y, Zhang X, Zhang P, Han S, Fan D. Long-term efficacy and safety of endoscopic surgery versus small bone window craniotomy for spontaneous supratentorial intracerebral hemorrhage: a meta-analysis and trial sequential analysis. BMC Neurol. 2025;25(1):55. https://doi.org/10.1186/s12883-025-04023-9.
  12. Greenberg S.M., Ziai W.C., Cordonnier C., Dowlatshahi D., Francis B., Goldstein J.N. et al. 2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage: a Guideline from the American Heart Association/American Stroke Association. Stroke. 2022; 53(7): e282–e361. https://doi.org/10.1161/STR.0000000000000407.
  13. Mezzacappa FM, Weisbrod LJ, Schmidt CM, Surdell D. Neuroendoscopic evacuation improves outcomes compared with external ventricular drainage in patients with spontaneous intraventricular hemorrhage: a systematic review with meta-analyses. World Neurosurg. 2023;175:e247-e253. https://doi.org/10.1016/j.wneu.2023.03.061.
  14. Hanley D.F., Thompson R.E., Rosenblum M., Yenokyan G., Lane K., McBee N. et al. MISTIE III Investigators. Efficacy and safety of minimally invasive surgery with thrombolysis in intracerebral haemorrhage evacuation (MISTIE III): a randomised, controlled, open-label, phase 3 trial. Lancet. 2019; 393(10175): 1021–1032. https://doi.org/10.1016/S0140-6736(19)30195-3.
  15. Johnson J., Zamzuri I., Jafri F., Azmi A., Haspani M. Prevalence of Shunt Dependency and Clinical Outcome in Patients with Massive Intraventricular Haemorrhage Treated with Endoscopic Washout and External Ventricular Drainage. Malays. J. Med. Sci. 2017; 24(1): 40–46. https://doi.org/10.21315/mjms2017.24.1.5.9):141–145. https://doi.org/10.32000/2072-1757-2018-9-141-145 2. Essibayi MA, Ibrahim Abdallah O, Mortezaei A, Zaidi SE, Vaishnav D, Cherian J et al. Natural History, Pathophysiology, and Recent Management Modalities of Intraventricular Hemorrhage. J Intensive Care Med. 2024;39(9):813–819. https://doi.org/10.1177/08850666231204582. 3. Woo D, Comeau ME, Venema SU, Anderson CD, Flaherty M, Testai F. et al. Risk Factors Associated With Mortality and Neurologic Disability After Intracerebral Hemorrhage in a Racially and Ethnically Diverse Cohort. JAMA Netw Open. 2022;5(3):e221103. https://doi.org/10.1001/jamanetworkopen.2023.1103. 4. Ганиева МТ, Тоджиддинов ТБ, Хошимов РА. Эпидемиология мозгового инсульта в Гиссарском районе Республики Таджикистан. Вестник Авиценны. 2019;21(2):253-7. http://dx.doi.org/10.25005/2074-0581-2019-21-2-253-257. 5. de Oliveira Manoel, A.L. Surgery for spontaneous intracerebral hemorrhage. Crit Care. 2022; 24(45). https://doi.org/10.1186/s13054-020-2749-2. 6. Beck J, Fung Ch, Strbian D, Bütikofer L, Z'Graggen WJ, Lang MF et al. Decompressive craniectomy plus best medical treatment versus best medical treatment alone for spontaneous severe deep supratentorial intracerebral haemorrhage: a randomised controlled clinical trial. The Lancet. 2024;403(10442):2395 - 2404. https://doi.org/10.1016/S0140-6736(24)0072-5. 7. Rennert RC, Tringale K, Steinberg JA, Warnke P, Konety I, Sand LA et al. Surgical management of spontaneous intracerebral hemorrhage: insights from randomized controlled trials. Neurosurg Rev. 2021;43(3):999-1006. https://doi: 10.1007/s10143-019-01115-2. 8. Pradilla G, Ratcliff JJ, Hall AJ, Saville BR, Allen JW, Paulon G et al. ENRICH trial investigators; ENRICH Trial Investigators. Trial of Early Minimally Invasive Removal of Intracerebral Hemorrhage. N Engl J Med. 2024;390(14):1277-1289. https://doi.org/10.1056/NEJMoa2308440. 9. Huan J, Yao M, Ma Y, Mei F, Liu Y, Ma L et al. Surgical interventions for spontaneous supratentorial intracerebral haemorrhage: a systematic review and network meta-analysis. EClinicalMedicine. 2024;79:102999. https://doi.org/10.1016/j.eclinm.2024.102999 10. Zhu H, Zhang Y, Huang Y, Li Q, Wang W, Lin S. et al. Surgical interventions for spontaneous supratentorial intracerebral haemorrhage: a systematic review and network meta-analysis. eClinicalMedicine. 2024;79:102989. https://doi.org/10.1016/j.eclinm.2023.102989. 11. Guo C, Bai Y, Zhang X, Zhang P, Han S, Fan D. Long-term efficacy and safety of endoscopic surgery versus small bone window craniotomy for spontaneous supratentorial intracerebral hemorrhage: a meta-analysis and trial sequential analysis. BMC Neurol. 2025;25(1):55. https://doi.org/10.1186/s12883-025-04023-9. 12. Greenberg S.M., Ziai W.C., Cordonnier C., Dowlatshahi D., Francis B., Goldstein J.N. et al. 2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage: a Guideline from the American Heart Association/American Stroke Association. Stroke. 2022; 53(7): e282–e361. https://doi.org/10.1161/STR.0000000000000407. 13. Mezzacappa FM, Weisbrod LJ, Schmidt CM, Surdell D. Neuroendoscopic evacuation improves outcomes compared with external ventricular drainage in patients with spontaneous intraventricular hemorrhage: a systematic review with meta-analyses. World Neurosurg. 2023;175:e247-e253. https://doi.org/10.1016/j.wneu.2023.03.061. 14. Hanley D.F., Thompson R.E., Rosenblum M., Yenokyan G., Lane K., McBee N. et al. MISTIE III Investigators. Efficacy and safety of minimally invasive surgery with thrombolysis in intracerebral haemorrhage evacuation (MISTIE III): a randomised, controlled, open-label, phase 3 trial. Lancet. 2019; 393(10175): 1021–1032. https://doi.org/10.1016/S0140-6736(19)30195-3. 15. Johnson J., Zamzuri I., Jafri F., Azmi A., Haspani M. Prevalence of Shunt Dependency and Clinical Outcome in Patients with Massive Intraventricular Haemorrhage Treated with Endoscopic Washout and External Ventricular Drainage. Malays. J. Med. Sci. 2017; 24(1): 40–46. https://doi.org/10.21315/mjms2017.24.1.5.