Subaraknoid Kanama: Tanı, Tedavi ve Yönetimi

Subaraknoid kanama kanın subaraknoid mesafeye dağıldığı patolojik bir durumdur ve orta-ileri yaş grubunda önemli bir morbidite ve mortalite nedenidir. Subaraknoid kanamalı bir hastanın tedavisinde primer hedef anevrizma kesesinin tamamının, rezidü bırakmadan güvenli bir şekilde oklüde edilmesidir. Ancak yalnızca anevrizma kesesini oklüde etmek yeterli olmayıp subaraknoid kanamaya bağlı meydana gelen komplikasyonlarda dikkatlice tedavi edilmelidir. 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.

Subarachnoid Hemorrhage: Diagnosis, Treatment and Management

Subarachnoid hemorrhage is a pathologic condition that exists when the blood spread through the subarachnoid space and it is an important cause of morbidity and mortality in middle-age group. Primary goal in the treatment of patients with subarachnoid hemorrhage is to occlude the aneurysm sac entirely and safely without leaving a residue. However, it is not adequate the occlusion of aneurysm sac but also the complications that occurs due subarachnoid hemorrhage should be treated carefully. Morbidity and mortality rates will decrease greatly, if close miniaturization and early intervention is done for the patients of aneurysms to prevent postoperative complications.

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