title: [Intensive treatment of subarachnoid hemorrhage with objective worsening of patient status].
abstract: In the years 1971-1978 a group of 915 patients with subarachnoideal haemorrhage were treated at the Department of Neurosurgery, Medical Academy in Cracow. Surgical treatment was applied in 584 cases (63.82%). In 92 cases (10.05%) intensive treatment vas applied in view of deterioration in the course of the disease. The patients requiring intensive treatment were divided into 3 groups depending on the time of deterioration development (recurrence of subarachnoideal haemorrhage--27%, after angiography--11%, after surgical elimination of the aneruysm from the circulation--62%). The authors discuss the clinical symptoms and signs of deterioration, therapeutic management and nutrition. In the group with deterioration 76.08% of patients died, including 47.82% after operations. Deterioration was survived by 23.91%.
mesh_terms: D000328:Adult; D002533:Cerebral Angiography; D003422:Critical Care / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000401:mortality / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000401:mortality / Q000628:therapy*
vernacular_title: Intensywne leczenie chorych po krwotoku podpajeczynówkowym przebiegajacym z pogorszeniem stanu przedmiotowego.