CAJ | 학술논문

目的探讨重型破裂脑动脉瘤的急性期手术疗效.方法在急性期首先通过去骨瓣减压、血肿清除、脑室外引流等手术减轻病情后,进一步对动脉瘤进行手术.结果 Hunt-Hess分级Ⅳ级50例,26例优,13例良,8例差,3例死亡.Ⅴ级者8例,2例优,1例良,2例差,3例死亡. 结论重型破裂脑动脉瘤急性期应首选手术治疗,可取得满意的疗效.
목적 탐토중형파렬뇌동맥류적급성기수술료효.방법 재급성기수선통과거골판감압、혈종청제、뇌실외인류등수술감경병정후,진일보대동맥류진행수술.결과 Hunt-Hess분급Ⅳ급50례,26례우,13례량,8례차,3례사망.Ⅴ급자8례,2례우,1례량,2례차,3례사망. 결론중형파렬뇌동맥류급성기응수선수술치료,가취득만의적료효.
Objective To discuss the clinical therapeutic effect and value of emergent surgery for intracranial Hunt-Hess grade Ⅳ and Ⅴ aneurysms. Method First we improved patient's condition through decompressive craniotomy, evacuation of hematoma and external ventricular drainage, and then we performed aneurysm surgery. Results A retrospective analysis of 58 patients with intracranial aneurysms were treated with emergent surgery. There were 50 cases of Hunt-Hess grade 1V ,in witch 26 cases had a good outcome, 13 cases had a mild disability, 8 cases had a severe disability and 3 cases died. There were 8 cases of Hunt-Hess grade Ⅴ, in witch 2 cases had a good outcome, 1 case had a mild disability, 2 cases had a severe disability and 3 cases died. Conclusions Emergent surgery is a first choice for hunt-Hess grade Ⅳ and Ⅴ aneurysms and the results were satisfactory.