2. ER에서 해야 할 처치 :
1) ABC : air way 유지, breathing, circulation
2) EKG
3) Brain CT
4) 뇌압감소
-두부의 위치를 높여준다(30~45‘)
-과호흡 (pCO2 30~35기준)
-mannitol
3. Initial Brain Imaging
1) A large ICH at the right basal ganglia and periventricualar white matter with large amount of IVH.
4. 향후 Plan & 보호자에게 말해
2월2일 Corpus callosum의 splenium 근처에 약 2.7 x 1.8 x 2.7cm size의 tangled vascular structure가 관찰되며 feeding artery는 ACA(pericallosal a.)와 right PCA로 보이면서 draining vein은 enlarged되어 있고 vein of Galen이나 straight sinus로 drainage됨.
Angio : AP view상에서는 3 x 2cm크기의 AVM. A small AVM at the splenium of corpus callosum and pericallosal area
3. Initial Brain Imaging
1) angio
2) CT
4. 향후 Plan & 보호자에게 말해 줄 수 있는 Complication
- 뇌혈관조영술, 절대안정, 코일 색전술, 결찰
- complication : 재출혈, 뇌연축, 수두증
- 수술에 대한 complication : vomitting, 경련, shock
5. 1st OP
1) OP date : 2010/02/24 수술예정
2) OP name :
1. A crescentic SDH at the Rt. frontoparietal area and hemorrhagic cerebral contusion at the Lt. frontal lobe with mild midline shift to the Rt. side.
2. Traumtic SAH at the basal cisterns with diffusion brian swelling.
3. Hemorrhiac cerebral contusion at the Rt. temporoparietal area with a curvilinar SDH at the Rt. temporoparietal area and hemorrhagic cerebral contusion at the Lt. high parieta