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Haemostasis in Cerebrospinal Fluid: Basic Concept of Antifibrinolytic Therapy of Subarachnoid Haemorrhage: Acta Neurochirurgica Supplement, cartea 34

Autor P. Hindersin, R. Heidrich, S. Endler
en Limba Engleză Paperback – 10 dec 1984
Almost a hundred years passed from the time of the first description of an intracranial aneurysm by Morgagni in 1761 to the year 1859, when Sir William Withey Gull arrived at the conclusion that haemorrhage in the subarachnoid space is caused by ruptured aneurysms. The introduction of lumbar puncture by Quincke 1891 and cerebral angiography by Moniz 1927 made it possible to establish the diagnosis of haemorrhage and its source. In recent decades the problems of treatment have come into prominence, first of all because of the inadequacy of conservative methods of treatment in most of the cases, and from surgical experience and its limitations which became apparent before very long. Because of the erratic development of neurosurgery and vascular surgery, above all, since the technique of microsurgery has been used, the entire removal of the source of haemorrhage has become a possibility, even though there were still quite different views taken regarding the most convenient time for surgical intervention, apart from the prevailing local conditions 134, 143, 144,261. In an up-to-date plan of treatment of subarachnoid haem­ orrhage (SAH) conservative measures are appropriate for bridging the pre-operative period, and must be considered the only solution in those cases in which the source of haemorrhage cannot be found. As far as the effectiveness of such conservative therapy is con­ cerned, the rate of re bleeding and the mortality provide sufficient comment.
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Specificații

ISBN-13: 9783211818398
ISBN-10: 3211818391
Pagini: 92
Ilustrații: IX, 77 p. 2 illus.
Dimensiuni: 152 x 229 x 5 mm
Greutate: 0.14 kg
Ediția:1984
Editura: SPRINGER VIENNA
Colecția Springer
Seria Acta Neurochirurgica Supplement

Locul publicării:Vienna, Austria

Public țintă

Research

Cuprins

1. Introduction.- 2. Definition of the Problems.- 3. Material and Methods.- 4. Coagulation and Fibrinolysis in CSF.- 5. Sequence of Haemostasis in SAH.- 6. Pathophysiological Changes in Coagulation and Fibrinolysis in SAH.- 7. Treatment of SAH.- 8. Antifibrinolytic Treatment of SAH with PAMBA.- Summary.- References.