ABSTRACT
Treatment of angiospasm as one of the most dangerous complications of subarachnoidal hemorrhage in the cerebral arterial aneurysm rupture constitutes an actual problem. Possibility of the cerebral vessels visualization have permitted to use intraarterial infusion of vasoactive preparations (IAIVAP) for treatment of angiospasm. Therapeutic efficacy for angiospasm, cerebral ischemia and edema depends on many factors and even in application of IAIVAP not always terminates successfully. The disease predictors studying makes possible to plan the intensive therapy tactics correctly, to prognosticate the disease course and the result of treatment. While analyzing the material there were used statistical methods of the data processing, permitting to reveal the prognostically meaningful criterions, influencing the treatment efficacy for angiospasm and its consequences. There was proved the influence of some predictors on the survival and mortality indexes, as well as on disablement and securing of ability to work in patients after application of IAIVAP. It was established, that conduction of IAIVAP had promoted the trustworthy raising of the survival indexes, as well as the lowering of mortality and the disablement rate in patients suffering angiospasm, cerebral ischemia and edema.
Subject(s)
Intracranial Aneurysm , Subarachnoid Hemorrhage , Vasospasm, Intracranial , Adult , Female , Humans , Intracranial Aneurysm/complications , Intracranial Aneurysm/epidemiology , Intracranial Aneurysm/surgery , Male , Prognosis , Prospective Studies , Subarachnoid Hemorrhage/epidemiology , Subarachnoid Hemorrhage/etiology , Subarachnoid Hemorrhage/surgery , Vasospasm, Intracranial/epidemiology , Vasospasm, Intracranial/etiology , Vasospasm, Intracranial/surgeryABSTRACT
The data concerning Osetron application for prevention and elimination of emesis and vomiting in postoperative period in patients with an acute disorder of the brain blood circulation according to hemorrhagic, ischemic and mixed types were presented.
