Intensive treatment of subarachnoid hemorrhage with objective worsening of patient status

: 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%.