CAJ | 학술논문

目的评价高分级动脉瘤性蛛网膜下腔出血合并呼吸抑制患者显微手术治疗的疗效.方法同顾性分析7例动脉瘤性蛛网膜下腔出血合并呼吸抑制患者的资料,患者均在进行呼吸功能复苏抢救后急行显微外科手术治疗,以GOS评分量表对患者神经功能评分.结果 7例患者的7个动脉瘤均显微手术夹闭,术后6个月时的GOS评分:恢复良好2例,中度病残但生活自理3例,重度病残、生活不能自理1例,死亡1例.结论对即使已经合并呼吸抑制的高分级动脉瘤患者急性期手术治疗是可行的,结合及时的气管插管控制呼吸,脑室外引流以及去骨板减压等处理可以帮助改善其预后.
목적 평개고분급동맥류성주망막하강출혈합병호흡억제환자현미수술치료적료효.방법 동고성분석7례동맥류성주망막하강출혈합병호흡억제환자적자료,환자균재진행호흡공능복소창구후급행현미외과수술치료,이GOS평분량표대환자신경공능평분.결과 7례환자적7개동맥류균현미수술협폐,술후6개월시적GOS평분:회복량호2례,중도병잔단생활자리3례,중도병잔、생활불능자리1례,사망1례.결론 대즉사이경합병호흡억제적고분급동맥류환자급성기수술치료시가행적,결합급시적기관삽관공제호흡,뇌실외인류이급거골판감압등처리가이방조개선기예후.
Objective To evaluate the clinical strategy and effects of microsurgery for patients of poor grade aneurysmal subarachnoid hemorrhage and respiratory depression.Methods The data of 7 patients from April 2003 to November 2009 were retrospectively analyzed.Urgent microsurgery after pulmonary resuscitation were performed in all patients.Glasgow Outcome Scale (GOS) was used for postoperative evaluation of neurological function.Results 7 aneurysms of 7 patients were all clipped.The follow - up results (6 months after surgery) revealed good outcome in 2 cases,mild disability in 3,severe disability in 1and 1 death.Conclusions It is feasible to perform surgical treatment for poor grade aneurysm patients in acute stage even though the patient is complicated with respitatory depression.Tracheal intubation promptly,external ventricular drainage and decompressive craniectomy could help to improve the outcome of patient.