医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
5期
246-246
,共1页
蛛网膜下腔出血(SAH)%颅内动脉瘤%破裂%显微手术
蛛網膜下腔齣血(SAH)%顱內動脈瘤%破裂%顯微手術
주망막하강출혈(SAH)%로내동맥류%파렬%현미수술
Subarachnoid hemorrhage (SAH)%Intracranial aneurysms%Rupture%Microsurgery
目的:总结颅内破裂动脉瘤早期显微手术的临床经验。方法49例颅内破裂动脉瘤患者均早期(3 d内)采用显微神经外科手术进行治疗。其中48例行瘤颈夹闭,1例行动脉瘤包裹加固定术。结果术中动脉瘤破裂10例,9例得到完全夹闭,1例行包裹加固定术。术后随访1~6个月,恢复良好40例,留有残疾8例,死亡1例。结果颅内破裂动脉瘤一旦再次破裂预后差,早期显微手术治疗能有效防止再出血危险,并有利于防治脑血管痉挛。
目的:總結顱內破裂動脈瘤早期顯微手術的臨床經驗。方法49例顱內破裂動脈瘤患者均早期(3 d內)採用顯微神經外科手術進行治療。其中48例行瘤頸夾閉,1例行動脈瘤包裹加固定術。結果術中動脈瘤破裂10例,9例得到完全夾閉,1例行包裹加固定術。術後隨訪1~6箇月,恢複良好40例,留有殘疾8例,死亡1例。結果顱內破裂動脈瘤一旦再次破裂預後差,早期顯微手術治療能有效防止再齣血危險,併有利于防治腦血管痙攣。
목적:총결로내파렬동맥류조기현미수술적림상경험。방법49례로내파렬동맥류환자균조기(3 d내)채용현미신경외과수술진행치료。기중48례행류경협폐,1례행동맥류포과가고정술。결과술중동맥류파렬10례,9례득도완전협폐,1례행포과가고정술。술후수방1~6개월,회복량호40례,류유잔질8례,사망1례。결과로내파렬동맥류일단재차파렬예후차,조기현미수술치료능유효방지재출혈위험,병유리우방치뇌혈관경련。
Objective:Summary ruptured intracranial aneurysm microsurgery early clinical experience. Methods: 49 cases of patients with ruptured intracranial aneurysms were early (3d interior) using microsurgical nerve surgery for treatment. 48 of aneurysm neck clipping routine, a routine aneurysm parcellplus fixation. Results:Intraoperative aneurysm rupture in 10 cases, 9 cases ful y clipped a routine package plus fixation. 1-6 months postoperative fol ow-up, a good recovery in 40 cases, 8 cases of disability leave, and 1 died. Conclusion: Once again ruptured intracranial aneurysm rupture poor prognosis, early microsurgical treatment can prevent further bleeding risk, and have contributed to the prevention of cerebral vasospasm.