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StrokeSmart：你知道什么是微创治疗颅内出血的阿波罗手术吗？

2015-10-13 phylis译 MedSci原创

阿波罗手术颅内出血微创
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颅内出血是最严重的一种卒中类型。Stony Brook大学医疗中心神经介入放射的David Fiorella医生解释：阿波罗系统这种新型微创设备是怎样帮组这类卒中幸存者的？StokeSmart：什么是颅内出血？David Fiorella：颅内出血（ICH）或脑内出血是最严重的卒中类型。ICH患者相关的发病率和死亡率最高。没有特效的药物或手术干预能改善ICH患者预后。因此，到目前为止，大多数颅内出


脑实质出血是最严重的一种卒中类型。Stony Brook大学医疗中心神经介入放射的David Fiorella医生解释了：阿波罗系统这种新型微创设备是怎样帮助这类卒中幸存者的。

StokeSmart：什么是颅内出血？

David Fiorella：颅内出血（ICH）或脑实质出血是最严重的卒中类型。ICH患者相关的发病率和死亡率最高。没有特效的药物或手术干预能改善ICH患者预后。因此，到目前为止，大多数颅内出血患者仅以控制血压及药物支持治疗为主。患者在ICU及住院时间较长。幸存者也常存在永久性残疾。

SS:什么是阿波罗系统？

DF:阿波罗系统是一种新型微创设备，它能从脑深部移除液体中的血液产物。通过在患者颅骨上钻一个小洞进行阿波罗手术，而不需要较大的开放性的手术处理脑部深处出血。在医学影像的指导下，“阿波罗魔杖”（一个小吸管）通过颅骨小孔放置，并且进入脑出血部位。有时在几分钟内，血液通过这个很小的潜入点排出。移除血块可以缓解脑内压力，减少脑内血液产物降解产生的毒害作用。

SS:在应用阿波罗系统，效果怎样？

DF:目前，我们已经应用阿波罗系统治疗了许多患者，初步的结果鼓舞人心。一项有关阿波罗手术和标准治疗处理颅内出血的多中心随机对照试验有待进行。我们期望未来的研究能够证实阿波罗手术能够改善ICH患者预后，最终为ICH的患者带来希望。

原文出处：

Lucy Lazarony. Ask the Expert: Apollo Procedure. 2015 Sep 10.

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  1. 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    2017-04-04 jin321

    与目前应用的微创穿刺有什么不同

    0

  2. 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    2016-04-02 yibei

    #SMART#

    0

  3. 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    2016-01-14 ms3046638856685384

    #微创治疗#

    0

  4. 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    2015-11-04 Asteroid

    好厉害

    0

  5. 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    2015-10-31 玥月

    真不错

    0

  6. 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    2015-10-29 1ddd0722m16(暂无匿称)

    希望能尽快应用

    0

  7. 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    2015-10-20 yanjunmd2012

    学习是个过程

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=184956, encodeId=2ccf1849567a, content=与目前应用的微创穿刺有什么不同, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xjZ9qh3bhXrJtUlmycKGfQKPuADVZQsdNAQj5IrHHlzbGsDwScictBgogYRk8KhicpgEKwTEfOHgqw/0, createdBy=bc931611963, createdName=jin321, createdTime=Tue Apr 04 00:06:21 CST 2017, time=2017-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2036101, encodeId=74182036101ed, content=<a href='/topic/show?id=a1481643973' target=_blank style='color:#2F92EE;'>#SMART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=16439, encryptionId=a1481643973, topicName=SMART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3d1e370, createdName=yibei, createdTime=Sat Apr 02 00:39:00 CST 2016, time=2016-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1665773, encodeId=77131665e7395, content=<a href='/topic/show?id=10665053ea6' target=_blank style='color:#2F92EE;'>#微创治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50537, encryptionId=10665053ea6, topicName=微创治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2ad726008181, createdName=ms3046638856685384, createdTime=Thu Jan 14 00:39:00 CST 2016, time=2016-01-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42463, encodeId=434e42463ec, content=好厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=116, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151025/IMG562C50EA847681774.jpg, createdBy=fbe41658927, createdName=Asteroid, createdTime=Wed Nov 04 08:58:00 CST 2015, time=2015-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42077, encodeId=a135420e761, content=真不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151019/IMG5624E2925EB643108.jpg, createdBy=ddfd1657548, createdName=玥月, createdTime=Sat Oct 31 20:05:00 CST 2015, time=2015-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=41907, encodeId=e2be4190ec9, content=希望能尽快应用, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3c631653108, createdName=1ddd0722m16(暂无匿称), createdTime=Thu Oct 29 21:50:00 CST 2015, time=2015-10-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39796, encodeId=440039e9648, content=学习是个过程, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=d6c998545, createdName=yanjunmd2012, createdTime=Tue Oct 20 00:40:00 CST 2015, time=2015-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39340, encodeId=607139340af, content=谢谢分享~, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:51:00 CST 2015, time=2015-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39341, encodeId=aa873934156, content=赞一个~, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:51:00 CST 2015, time=2015-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39342, encodeId=ff553934209, content=为了积分我也是拼了~, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:51:00 CST 2015, time=2015-10-18, status=1, ipAttribution=)]
    2015-10-18 sunlong28

    谢谢分享~

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=184956, encodeId=2ccf1849567a, content=与目前应用的微创穿刺有什么不同, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xjZ9qh3bhXrJtUlmycKGfQKPuADVZQsdNAQj5IrHHlzbGsDwScictBgogYRk8KhicpgEKwTEfOHgqw/0, createdBy=bc931611963, createdName=jin321, createdTime=Tue Apr 04 00:06:21 CST 2017, time=2017-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2036101, encodeId=74182036101ed, content=<a href='/topic/show?id=a1481643973' target=_blank style='color:#2F92EE;'>#SMART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=16439, encryptionId=a1481643973, topicName=SMART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3d1e370, createdName=yibei, createdTime=Sat Apr 02 00:39:00 CST 2016, time=2016-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1665773, encodeId=77131665e7395, content=<a href='/topic/show?id=10665053ea6' target=_blank style='color:#2F92EE;'>#微创治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50537, encryptionId=10665053ea6, topicName=微创治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2ad726008181, createdName=ms3046638856685384, createdTime=Thu Jan 14 00:39:00 CST 2016, time=2016-01-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42463, encodeId=434e42463ec, content=好厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=116, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151025/IMG562C50EA847681774.jpg, createdBy=fbe41658927, createdName=Asteroid, createdTime=Wed Nov 04 08:58:00 CST 2015, time=2015-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42077, encodeId=a135420e761, content=真不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151019/IMG5624E2925EB643108.jpg, createdBy=ddfd1657548, createdName=玥月, createdTime=Sat Oct 31 20:05:00 CST 2015, time=2015-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=41907, encodeId=e2be4190ec9, content=希望能尽快应用, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3c631653108, createdName=1ddd0722m16(暂无匿称), createdTime=Thu Oct 29 21:50:00 CST 2015, time=2015-10-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39796, encodeId=440039e9648, content=学习是个过程, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=d6c998545, createdName=yanjunmd2012, createdTime=Tue Oct 20 00:40:00 CST 2015, time=2015-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39340, encodeId=607139340af, content=谢谢分享~, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:51:00 CST 2015, time=2015-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39341, encodeId=aa873934156, content=赞一个~, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:51:00 CST 2015, time=2015-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39342, encodeId=ff553934209, content=为了积分我也是拼了~, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:51:00 CST 2015, time=2015-10-18, status=1, ipAttribution=)]
    2015-10-18 sunlong28

    赞一个~

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=184956, encodeId=2ccf1849567a, content=与目前应用的微创穿刺有什么不同, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xjZ9qh3bhXrJtUlmycKGfQKPuADVZQsdNAQj5IrHHlzbGsDwScictBgogYRk8KhicpgEKwTEfOHgqw/0, createdBy=bc931611963, createdName=jin321, createdTime=Tue Apr 04 00:06:21 CST 2017, time=2017-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2036101, encodeId=74182036101ed, content=<a href='/topic/show?id=a1481643973' target=_blank style='color:#2F92EE;'>#SMART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=16439, encryptionId=a1481643973, topicName=SMART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3d1e370, createdName=yibei, createdTime=Sat Apr 02 00:39:00 CST 2016, time=2016-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1665773, encodeId=77131665e7395, content=<a href='/topic/show?id=10665053ea6' target=_blank style='color:#2F92EE;'>#微创治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50537, encryptionId=10665053ea6, topicName=微创治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2ad726008181, createdName=ms3046638856685384, createdTime=Thu Jan 14 00:39:00 CST 2016, time=2016-01-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42463, encodeId=434e42463ec, content=好厉害, beContent=null, objectType=article, channel=null, level=null, likeNumber=116, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151025/IMG562C50EA847681774.jpg, createdBy=fbe41658927, createdName=Asteroid, createdTime=Wed Nov 04 08:58:00 CST 2015, time=2015-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=42077, encodeId=a135420e761, content=真不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151019/IMG5624E2925EB643108.jpg, createdBy=ddfd1657548, createdName=玥月, createdTime=Sat Oct 31 20:05:00 CST 2015, time=2015-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=41907, encodeId=e2be4190ec9, content=希望能尽快应用, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3c631653108, createdName=1ddd0722m16(暂无匿称), createdTime=Thu Oct 29 21:50:00 CST 2015, time=2015-10-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39796, encodeId=440039e9648, content=学习是个过程, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=d6c998545, createdName=yanjunmd2012, createdTime=Tue Oct 20 00:40:00 CST 2015, time=2015-10-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39340, encodeId=607139340af, content=谢谢分享~, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:51:00 CST 2015, time=2015-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39341, encodeId=aa873934156, content=赞一个~, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:51:00 CST 2015, time=2015-10-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=39342, encodeId=ff553934209, content=为了积分我也是拼了~, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/05/26/5e1df344d663496bdfd43c465d409e2c.jpg, createdBy=bce679058, createdName=sunlong28, createdTime=Sun Oct 18 22:51:00 CST 2015, time=2015-10-18, status=1, ipAttribution=)]
    2015-10-18 sunlong28

    为了积分我也是拼了~

    0

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