Problematics of subarachnoid hemorrhage in developing countries: The case of Togo
Problematics of subarachnoid hemorrhage in developing countries: The case of Togo
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DOI：
10.1016/j.neuchi.2016.06.008
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发表时间：
2016-12-01
期刊：
影响因子：
1.6
通讯作者：
Doleagbenou, K. A.
中科院分区：
文献类型：
--
作者：
Ahanogbe, K. M. H.;Belo, M.;Doleagbenou, K. A.
客观的。 - 在创建神经外科之前，分析多哥自发性蛛网膜下腔出血（SAH）的诊断和治疗策略以及治疗结果。方法。 - 我们对2005年6月30日至2010年6月30日在洛美大学医院收集的蛛网膜下腔出血病例进行了系列研究。它涉及 15 岁以上因蛛网膜下腔出血住院并经临床和/或放射证实的患者。结果。 - 发现 35 例 SAH 病例，相当于神经系统紧急情况的 0.20%。平均年龄为48岁，年龄范围为22至78岁，性别比F/H为1.33。意识障碍（48.57%）和头痛（42.85%）是入院的主要原因。 17 名患者 (48.57%) 患有高血压，14 名患者 (40%) 患有高血压。腰椎穿刺9例（25.71%）和CT扫描29例（82.86%）的敏感性分别为100%和93.10%。诊断出颅内动脉瘤4例。平均入院时间为 3.07 +/- 3.69 天。治疗主要是对症治疗。死亡率为22.85%，严重残疾8例（22.85%）。结论。 - 洛美 SAH 的概况似乎与文献不同。诊断出动脉瘤的比例太低。需要医院设备和神经外科医生培训来改善这种病理学的管理。 (C) 2016 Elsevier Masson SAS。版权所有。
Objective. - To analyze the diagnostic and therapeutic strategies as well as the results of the treatment of spontaneous subarachnoid hemorrhage (SAH) in Togo, before creating a neurosurgery department.Methods. - We conducted a case series of subarachnoid hemorrhage collected from 30 June 2005 to 30 June 2010 in the Universities Hospital of Lome. It involved patients older than 15 years of age hospitalized for subarachnoid hemorrhage with clinical and/or radiation confirmation.Results. - Thirty-five cases of SAH were found and corresponded to 0.20 % of neurological emergencies. The average age was 48 years with a range of 22 to 78 years with a sex-ratio F/H 1.33. The consciousness disorders (48.57 %) and headaches (42.85 %) were the main reasons for admission. Seventeen patients (48.57 %) had hypertension and 14 (40 %) were ethylic. Lumbar puncture performed in 9 patients (25.71 %) and CT scan in 29 patients (82.86 %), respectively, had a sensitivity of 100 % and 93.10 %. Four cases of intracranial aneurysm were diagnosed. The admission average was 3.07 +/- 3.69 days. The treatment was mainly symptomatic. Mortality was 22.85 % and severe disability was observed in 8 patients (22.85 %).Conclusion. - The profile of the SAH in Lome appeared to differ from the literature. Too low a proportion of aneurysm is diagnosed. The equipment of Hospital and neurosurgeons training would be needed to improve the management of this pathology. (C) 2016 Elsevier Masson SAS. All rights reserved.