Subaraknoid Kanama ve Komplikasyonlarının Tedavisi

Abstract

Keywords

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Subaraknoid Kanama ve Komplikasyonlarının Tedavisi

Abstract

Subaraknoid kanama kanın subaraknoid mesafeye dağıldığı patolojik bir durumdur ve orta-ileri yaş grubunda önemli bir morbidite ve mortalite nedenidir. Subaraknoid kanamalı bir hastanın tedavi- sinde primer hedef anevrizma kesesinin tamamının, rezidü bırakmadan güvenli bir şekilde oklüde edilmesidir. Ancak yalnızca anevrizma kesesini oklüde etmek yeterli olmayıp subaraknoid kanama- ya bağlı meydana gelen komplikasyonlarda dikkatlice tedavi edilmelidir. Bu komplikasyonların baş- lıcaları; tekrar kanama, vazospazm, parankimal hematom, intraventriküler hemoraji, hidrosefali ve intrakranial basınç artışıdır. Anevrizma tedavisinde hastaların monitörize edilerek yakın bir şekilde takip edilmesi ve bu komplikasyonların gelişmesi halinde erken tanı konularak müdahale edilmesi postop morbidite ve mortalite oranlarını büyük oranda azaltacak ve başarı oranını arttıracaktır

Keywords

• Anevrizma, Parankimal Hematom, Subaraknoid Kanama

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