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破裂脑动脉瘤早期手术的探讨 被引量:1

Early operation for ruptured in- tracranial aneurysms
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摘要 早期手术治疗34例破裂脑动脉瘤,其中位于颈内动脉24例,前交通动脉9例,大脑后动脉1例.27例治愈,4例好转,3例死亡.早期手术的主要目的是预防再出血,清除蛛网膜下腔积血,以预防脑血管痉挛. Thirty-four cases of ruptured in-tracranial aneurysms were operated in the earlystage. Among them,there were 24 cases with in-ternal carotid artery aneurysms, 1 case with pos-terior cerebral artery aneurysm and 9 cases withanterior communicating artery aneurysms. Afteroperation,27 patients have been cured and 4 pa-tients improved and 3 patients died.The main purpose of early operation of rup-tured intracranial aneurysms was to prevent re-bleeding and to remove the extravasated blood inthe subarachnoid space to prevent vasospasm.The drainage of subarachmoid cistern and ven-triclar fluid after operation not only provide agood recovery for surgical approach, but alsoplay an important role in preventing cerebral va-sospasm.
出处 《微侵袭神经外科杂志》 CAS 1996年第3期180-181,共2页
基金 黑龙江省科委资助课题(课题号G91CE-24-03)
关键词 脑动脉瘤 血管痉挛 夹闭术 手术治疗 intracranial aneurysm clip va-sospasm
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