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I.はじめに
脳内血腫を伴う破裂脳動脈瘤の転帰は極めて不良であり,救命のもとに安易に植物状態患者をうみ出すことは医療的にも社会的にも問題である.一方,少数であるが社会復帰例もあり,その対応は難しい.われわれは過去の症例から手術適応の指標を求め多少の知見を得たので報告した.
We reviewed 40 cases of intracranial ruptured aneurysm with intracerebral hematoma (An-ICH) and compared those with 177 cases of intracranial single ruptured aneurysm causing only subarachnoid hemorrhage (An-SAH).
An-ICH accounted 11.6% of the intracranial aneu-rysm, ruptured at the mean age of 54 years, and occurred equally in both sexes. The localization of An-ICH was 50% in the middle cerebral artery (MC), 43% in the anterior cerebral artery (AC) and 8% in the internal carotid arterial region. Forty percent of An-ICH were treated conservatively and the outcome was very misery (no useful life and 94% was poor or dead).
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