摘要
目的 探讨外伤性颈内动脉海绵窦瘘的临床危险因素与治疗对策。方法 回顾性分析 2 9例具有高危险临床因素的外伤性颈内动脉海绵窦瘘急诊血管内栓塞治疗。结果 10例伴有鼻衄 ,其中 9例治愈 ,1例入院后 2h急性致命性鼻衄而死亡。 16例伴有急性视力下降 ,其中 10例治愈 ,4例改善 ,2例视力未能恢复 ,3例伴有颅内出血 ,均治愈。结论 外伤性颈内动脉海绵窦瘘若合并有鼻衄、急性视力下降、颅内出血等症状 ,表示这类病人病情危重 ,及早诊断 ,彻底治疗 。
Objective To study the clinical high risk factors and urgent treatment of the traumatic carotid cavernous fistula(TCCF). Methods To sum up and investigate 29 cases of TCCF required urgent treatment with clinical high risk facfors in the recent ten years. Results Out of 10 TCCF patients, with epistaxis, 9 cases were cured and 1 case with massive epistaxis died of fatal hemorrhage. Among 16 TCCF patients with acute hypopsia, 10 cases were cured and 4 improved, but 2 cases' vision returned ineffectually . Three TCCF cases with intracerebral hemorrhage were all cured. Conclusion The cases of TCCF may have the clinical high risks of epistaxis, intracerebral hemorrhage and rapid decrease of visual acuity and should be treated immediately.
出处
《宁夏医学院学报》
2004年第5期341-343,346,共4页
Journal of Ningxia Medical College
关键词
外伤性颈内动脉海绵窦瘘
危险因素
栓塞
Traumatic carotid cavernous fistula(TCCF)
risk facfor
embolism
