RESUMO
Results of endovascular treatment of cerebral aneurysms in acute period of hemorrhage complicated by the development of vasospasm in 80 patients were analyzed. The results of treatment of patients with vasospasm were worse. The appearance of vasospasm did not depend of the severity of the patient's state, so all the patients independent on their state need prophylactic measures against this complication. Based on the analysis a strategy of embolization of aneurysms in acute period of hemorrhage complicated by the development of vasospasm was worked out.
Assuntos
Aneurisma Roto/terapia , Hemorragia Cerebral/terapia , Embolização Terapêutica , Aneurisma Intracraniano/terapia , Vasoespasmo Intracraniano/terapia , Aneurisma Roto/complicações , Aneurisma Roto/diagnóstico por imagem , Angiografia Cerebral , Hemorragia Cerebral/diagnóstico por imagem , Hemorragia Cerebral/etiologia , Humanos , Aneurisma Intracraniano/complicações , Aneurisma Intracraniano/diagnóstico por imagem , Resultado do Tratamento , Vasoespasmo Intracraniano/complicações , Vasoespasmo Intracraniano/diagnóstico por imagemRESUMO
In patients with cerebral meningiomas, hemorrhages to the subarachnoidal space and tumorous tissues are an extreme rarity. The difficulties encountered in the clinical diagnosis may be, as a rule, accounted for by an uneventful course, marked by a dramatically occurring intracranial hemorrhage as the first disease manifestation. Carotid angiography and computer-aided tomography enable a correct diagnosis to be made. Radical excision of the tumor provides favourable results, with the exception of comatose patients.
Assuntos
Neoplasias Meníngeas/complicações , Meningioma/complicações , Hemorragia Subaracnóidea/etiologia , Adulto , Idoso , Angiografia Cerebral , Ecoencefalografia , Feminino , Humanos , Masculino , Neoplasias Meníngeas/irrigação sanguínea , Neoplasias Meníngeas/diagnóstico , Neoplasias Meníngeas/cirurgia , Meningioma/irrigação sanguínea , Meningioma/diagnóstico , Meningioma/cirurgia , Pessoa de Meia-Idade , Punção Espinal , Hemorragia Subaracnóidea/diagnóstico , Hemorragia Subaracnóidea/cirurgiaRESUMO
An analysis of case histories of 142 patients dead from acute pancreatitis has been made. The most frequent cause of death at early terms was the syndrome of endogenous intoxication and bleeding from upper portions of the gastro-intestinal tract. Death at later terms was usually caused by pyo-septic complications and arrosive bleedings. It was established that in the recent years acute pancreatitis made its appearance against the background of chronic inflammatory alterations in the pancreas.
Assuntos
Pancreatite/mortalidade , Doença Aguda , Idoso , Infecções Bacterianas/mortalidade , Procedimentos Cirúrgicos do Sistema Biliar , Feminino , Hemorragia/mortalidade , Humanos , Masculino , Pessoa de Meia-Idade , Pancreatite/complicações , Complicações Pós-Operatórias/mortalidade , Recidiva , Estômago/cirurgia , Toxemia/mortalidadeRESUMO
Results of an analysis of 4287 operations on organs of the abdomen have shown the frequency of acute pancreatitis after different surgical interventions to be 0,9%. This complication was more frequent after operations on the stomach (4,24%), less frequent after operations on biliary ducts (1,3%). Decompression of the biliary ducts and the gastro-intestinal tract reduced the frequency of acute pancreatitis after operations on the abdominal organs from 1,13% to 0,6%.
