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Therapeutic time window of minimally invasive surgery for intracerebral hemorrhage

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单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Neurol,Wuhan 430030,Peoples R China [2]Guiyang Med Univ, Affiliated Hosp, Emergency Dept, Guiyang, Guizhou, Peoples R China [3]Chongqing Med Univ, Dept Neurol, Affiliated Hosp 1, Chongqing, Peoples R China
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关键词: Intracerebral hemorrhage Therapeutic time window Minimally invasive surgery

摘要:
Since mass effect and secondary brain injuries persist in the pathogenesis of intracerebral hemorrhage, hematoma evacuation within a limited time is reasonable. However, it is complex to define an accurate therapeutic time window (TTW) for hematoma evacuation. In this review, studies about TTW were dis-cussed from four aspects: histopathology, molecular pathophysiology, neuroimaging and clinical out-comes. Animal experiments indicated that 6-12 h is the pathophysiological TTW of minimally invasive surgery. Clinical trials suggested that there is a correlation between TTW and clinical outcomes, while the exact TTW is still unclear due to lack of sufficient clinical studies, which deserves further investigation.(c) 2020 International Hemorrhagic Stroke Association. Publishing services by Elsevier B.V. on behalf of KeAi Communications Co. Ltd. This is an open access article under the CC BY-NC-ND license (http://creati-vecommons.org/licenses/by-nc-nd/4.0/).

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出版当年[2019]版:
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大类 | 4 区 医学
小类 | 4 区 临床神经病学
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最新[2024]版:
Q4 CLINICAL NEUROLOGY

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第一作者单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Neurol,Wuhan 430030,Peoples R China
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