摘要
目的：探讨前循环动脉瘤破裂的手术时机。方法：回顾性地分析了我科在2004年以后对20例前循环破裂动脉瘤的手术结果。入院时病情：Ⅰ级3例，Ⅱ级7例，Ⅲ级6例，Ⅳ级3例，Ⅴ级1例。自发病到手术的时间：3d内2例，4～14d12例，两周后手术6例。结果：1例Ⅲ级的病人至手术时8d，病情加重已达Ⅳ级，术后持续昏迷，自动出院。Ⅴ级的病人死亡，其他18例术后均逐渐好转。随访4个月～1年，良好14例，中残4例，重残1例，死亡1例，死亡率为5％。结论：Ⅰ～Ⅳ级的病人如其病情平稳或有好转趋势，就应尽早手术，而不要等到两周或3周后。另外，熟练的手术技巧及扎实的解剖知识对手术成功亦起着重要作用。
objective： To investigate the operative opportunity for procirculated aneurysm rupture. Methods： Since 2004, 20 cases of procirculated aneurysm rupture in our hospital were collected. Their operative outcomes were retrospectively analyzed. There were 3 cases in grade Ⅰ, 7 in grade Ⅱ, 6 in gradeⅢ3 in gradeⅣ and 1 in grade Ⅴ. The duration from onset to opration was 3 days in 2 cases, between 4 and 14 days in 12 cases and more than 2 weeks in 6 cases. Results： 18 cases improved after operation except for 1 cases agravated from gradem to grade Ⅳ at 8 days after operation, 1 cases death in grade Ⅴ. Followed up between 4 months and 1 year, 14 cases were good. 4 moderate disabled, 1 severe disabled and 1 dead. The death rate was 5 %. Conclusion： The patients in grade Ⅰ to Ⅳ should performed operation as early as possible if the condition was stabile or improved. Perfect technique and acquainted anatomical knowledge play important role in successful operation.
出处
《内蒙古医学杂志》
2007年第1期34-35,共2页
Inner Mongolia Medical Journal
关键词
前循环动脉瘤
破裂
手术时机
Prcirculated aneurysm
Rupture
Operative opportunity
