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Pengelolaan Perioperatif Stroke Hemoragik (Perioperative Management of Hemorrhagic Stroke)

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Hemorrhagic stroke is devastating disease and only 30% patients survive in 6 months after event. The comm on cause of intracranial hemorrhage are subarachnoid hemorrhage (SAH) from aneurysm, bleeding from arteriovenous malformation (AVM) or intracerebral hemorrhage. Intracecerebral hemorrhage common correlation with hypertension, anticoagulant therapy, or other coequlopethi, and alcohol addict, neoplasm, or amyloid angiopathi. Mortality in 30 days is 50%. Outcome for hemorrhagic stroke worst than ischemic stroke with mortality arround 10-30%. Hemorrhagic stroke typically presents with headache, nausea, and vomiting as well as seizute and focal neurological deficits. Neurological dysfunction variated between headache untill coma. Early treatment focused on: 1) hemodynamic and cardiac, 2) airwayand ventilation, 3) neurological function evaluation and the needed intracranial pressure monitoring or ventricular drainage or both.
Key word: intracranial hemorrhage, stroke hemorrhagic

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Jurnal Neuroanestesia Indonesia, 1 (1) 2012 : 59-6

Publisher

Bandung : Indonesian Society of Neuroanesthesia & Critical Care INA_SNACC., 2012

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9p

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2088-9670

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