Læknablaðið - 01.10.1973, Síða 22

194
LÆKNABLAÐIÐ
TABLE 22
Condition of surviving patients treated conservatively, both sexes. present series,
Working condition Cause of Aneurysm SAH Unknown Total
Working normally 1 11 12
Only light work 0 2 2
Disability pension 0 7 7
Disability pension but able to do light work 0 2 2
Bedridden 1 1 2
Total 2 23 25
læknismeðferð. Eru þessar tölur mjög
svipaðar og hjá Ask-Upmark og Ingvar,1
en betra en hjá Walton.i10 Hins vegar er
þetta heldur verri árangur en hjá Pakar-
inen,7 þegar miðað er við þá, sem fengu
lyflæknismeðferð, en í hans rannsókn
voru 70.5% í fullri vinnu og ekki nema
6.2% algjörir öryrkjar.
ÞAKKARORÐ
Höfundur þakkar hinum mörgu lækn-
um, sem veitt hafa mikilvægar upplýs-
ingar. Sérlega ber að þakka Ólafi Sigurðs-
syni yfirlækni og Magnúsi Ásmundssyni
sérfræðingi F.S.A.
Prof. John Riishede, dr. med., yfirlækn-
ir Neurokirurgisk afdeling Rigshospitalet,
Kaupmannahöfn, hefur á undanförnum ár-
um sýnt einstaka velvild með því að taka
á móti sjúklingum frá íslandi til aðgerðar
nánast fyrirvaralaust og standa íslenzk
heilbrigðisyfirvöld í mikilli þakkarskuld
við hann og hans starfsfólk.
Ottó J. Björnsson cand. stat. sá um töl-
fræðilega hlið þessarar rannsóknar, en
bókaverðir í bókasafni Landspítalans
hafa útvegað nauðsynleg heimildarrit og
eru þeim færðar þakkir fyrir þá aðstoð.
SUMMARY
A survey of cerebro vascular haemorrhage
in Iceland during the 11 year period 1958 to
1968 is reviewed.
The etiology, clinical features, sex and age
distribution and prognosis of primary SAH is
discussed. The incidence in Iceland having
been studied in a previous study.
The methods were based on the diagnostie
criteria of primary SAH as used by Pakarinen
in his Helsinki survey. It should be emphasized
that 55.0% of patients were seen by the author
in the acute phase.
This study includes 164 patients, 94 rnales
and 70 females. Angiography was performed
in 94 patients and 64 came to autopsy.
Cerebral aneurysm was detected in 87
(53%), AVM’s in 9 (5.5%). No lesion was
found in 66 (40.2%). In 37.2% were signs of
a CNS lesion, 19.5% were deeply comatose
when first examined and 31.0% gave a history
of headache prior to the ictus.
The incidence was highest between 40-59
years, there was no sex difference. 85 (51.8%)
patients died from their bleeds. One hundred
patients had one bleed only and 57 (57.0%)
of those died, 27 (27.0%) within 24 hours, 35
(35.0%) during the first week and 40 (40.0%)
within the first 3 weeks. 64 patients (39.0%)
had more than one bleed, of these 37 (57.8%)
died, 21 within three weeks.
Of all those dying from primary SAH 70.2%
died during the acute phase, that is within 12
weeks of the first bleed. 34 (53.1%) patients
with repeated bleeds had aneurysms, in 23
(35.9%) no lesion could be detected. 70 patients
were alive at the end of 1968, 50.0% were
working full time, 25.7% were partially dis-
abled and 18.6% totally disabled.
84 (51.2%) patients were treated conserva-
tively and 64 (39.1%) were subjected to opera-
tion. Operative mortality was 15.6%. The
neurosurgical procedures were carried out at
the Neurosurgical Department Rigshospitalet
Copenhagen (Head of the Department Prof.
J. Riishede).