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影响颅内动脉瘤夹闭术后脑血管痉挛的相关因素研究进展 被引量：10

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摘要 影响颅内动脉瘤预后的因素颇多,脑血管痉挛是影响患者预后的主要因素之一。通过复习文献,总结发现颅内动脉瘤开颅夹闭术后发生脑血管痉挛的相关危险因素包括:术前遗传因素、年龄、Hunt-Hess分级、改良的Fisher分级、手术时机、术中动脉瘤病灶特点、脑血管和脑组织的损伤、暂时阻断载瘤动脉、动脉瘤术中破裂、血肿清除、术中用药、术后蛛网膜下腔积血等。通过了解上述因素的作用特点,充分评估术前合并症,加强围手术期的监测和处理,以便更好地预防和减少动脉瘤夹闭术后脑血管痉挛的发生。
作者 张海涛 王永和
机构地区 潍坊市人民医院脑科医院神经外一科
出处 《国际神经病学神经外科学杂志》 2011年第3期261-265,共5页 Journal of International Neurology and Neurosurgery
关键词 颅内动脉瘤 夹闭术 蛛网膜下腔出血 脑血管痉挛 预后
分类号 R743.3 [医药卫生—神经病学与精神病学]
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参考文献28

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二级参考文献5

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国际神经病学神经外科学杂志
2011年 第3期

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