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前循环动脉瘤夹闭术中破裂的原因、预防及处理 被引量:5

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摘要 目的探讨颅内动脉瘤夹闭术中破裂的原因、预防及处理。方法回顾性分析37例颅内前循环动脉瘤夹闭术中发生动脉瘤破裂患者的临床资料。结果载瘤动脉显露后发生破裂27例,未显露载瘤动脉时发生破裂10例。按GOS评分标准评估患者预后,1~3分24例,4~5分13例。结论术前仔细研究影像学资料、平稳的麻醉管理、术中轻柔操作、尽量减少牵拉。
出处 《中国临床神经外科杂志》 2013年第7期425-427,共3页 Chinese Journal of Clinical Neurosurgery
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参考文献9

  • 1吴京雷,杨国平,高劲松.前循环动脉瘤夹闭术患者预后的相关因素分析[J].脑与神经疾病杂志,2012,20(2):147-149. 被引量:7
  • 2张志文,李安民,郭晓明,傅相平,闫润民,查炜光,刘爱军,易林华,梁树立,杜程刚,耿峰,姚世斌,薛菁晖.颅内动脉瘤手术技巧与术中破裂的预见及处理[J].中华神经外科疾病研究杂志,2006,5(6):498-501. 被引量:17
  • 3李松,张恒,毛伯镛.颅内囊状动脉瘤术中破裂的危险因素及其对预后的影响[J].中国医学科学院学报,2008,30(5):636-636. 被引量:2
  • 4Lucas E,Randall TH,Michael TL,et al.Predictors and out-comes of intraprocedural rupture in patients treated for rup-tured intracranial aneurysms:the CARAT study [J].Stroke,2008,39:1501-1506.
  • 5Leipzig TJ,Morgan J,Horner TG,et al.Analysis of intra-operative rupture in the surgical treatment of 1694 saccularaneurysms [J].Neurosurgery,2005,56(3):455-468.
  • 6Houkin K,Kuroda S,Takahashi A,et al.Intra-operativepremature rupture of the cerebral aneurysms:analysis ofthe causes and management [J].Acta Neurochir(Wien),1999,141(12):1255-1263.
  • 7Ferch R,Pasqualin A,Pinna G,et al.Temporary arterialocclusion in the repair of ruptured intracranial aneurysms:an analysis of risk factors for stroke [J].J Neurosurg,2002,97(4):836-842.
  • 8Ragonov6i Z,PavliceviC G.Intraoperative rupture of cerebralaneurysms and use of temporary arterial occlusion [J].Vo-jnosanit Pregl,2002,59(2):125-130.
  • 9Andrade GC,Braga FM.Intraoperative rupture in the aneu-rysmal neck:suggestion for surgical management [J].ArqNeuropsiquiatr,2002,60(3-A):666-669.

二级参考文献15

  • 1张志文,李安民,闫润民,郭晓明,傅相平,查韡光,刘爱军,易林华,梁树立,杜程刚,耿峰,金钧,姚世斌,薛菁晖.显微手术切除P_2段巨大动脉瘤[J].中华神经外科疾病研究杂志,2005,4(1):20-23. 被引量:7
  • 2许百男,段国升,张纪,周定标,程东源,余新光.颅内动脉瘤术中破裂的原因方式预防及处理[J].中华神经外科杂志,1994,10(3):141-143. 被引量:51
  • 3Ragonovic Z,Pavlicevic G.Intraoperative rupture of cerebral aneurysms and use of temporary arterial occlusion[J].Vojnosanit Pregl,2002,59(2):125-130.
  • 4Houkin K,Kuroda S,Takahashi A,et al.Intra-operative premature rupture of the cerebral aneurysms.Analysis of the causes and management[J].Acta Neurochir (Wien),1999,141(12):1255-1263.
  • 5M.G.Yasargil.显微神经外科学:Ⅲ[M]//凌锋译.北京:中国科技出版社,2002:前言.
  • 6Bose B,Balzaniri M.An overview of cerebral aneurysms,which factorsaffect the outcome of microsurgical treatment.Del Med J,1999,71:69-76.
  • 7Lakicevic NP,Gore KC.Early surgery of hemorrhaging aneurysms ofbrain blood vessels.Acta Chir Iugosl,2008,55:17-25.
  • 8Rothoerl RD,Finkenzeller T,Schubert T,et a1.High re-bleeding ratein-young adults after subarachnoid haemorrhage from giant aneurysms.Neurosurgery Rev,2006,29:21-25.
  • 9Nieuwkamp DJ,de Gans K,Algra A,et a1.Timing of aneurysm surgeryin subarachnoid haemorrhage an observational study in The Nether-lands.Acta Neurochir(Wien),2005,147:815-821.
  • 10Güresir E,Beck J,Vatter H,et al.Subarachnoid hemorrhage andintracerebral hematoma:incidence,prognostic factors,and outcome.Neurosurgery.2008,63:1088-1093.

共引文献23

同被引文献53

  • 1只达石.脑动脉瘤破裂伴灶性积血的临床意义[J].中华神经外科杂志,1995,11(1):6-8. 被引量:16
  • 2王立君,林成海,邵正凯,刘相轸,徐善才.颅内动脉瘤术中破裂的危险因素分析[J].中国脑血管病杂志,2006,3(8):369-372. 被引量:18
  • 3Sokolskaya N,Kopylova N,Slivneva I,et al.Echocardiographic diagnosis of a massive left ventricular pseudoaneurysm:a case report.Kardiochir Torakochirurgia Pol,2015,12:181-183.
  • 4Antoniou GA,Torella F,Harrison GJ,et al.Aortic dehiscence during endovascular sealing for ruptured abdominal aortic aneurysms.J Endovasc Ther,2015,22:806-809.
  • 5Ikeda DS,Marlin ES,Shaw A,et al.Endovascular flow diversion therapy for an actively hemorrhaging aneurysm after intraoperative rupture.J Clin Neurosci,2015,22:1839-1842.
  • 6Das JM,Rajmohan BP,Sharmad MS,et al.Incidental diagnosis of two intracranial aneurysms following surgical evacuation of chronic subdural hematoma.Asian J Neurosurg,2015,10:151-153.
  • 7Ayling OG,Ibrahim GM,Drake B,et al.Operative complications and differences in outcome after clipping and coiling of ruptured intracranial aneurysms.J Neurosurg,2015,123:621-628.
  • 8Jang EW,Kim YB,Chung J,et al.Clinical Risk Factors Affecting Procedure-Related Major Neurological Complications in Unruptured Intracranial Aneurysms.Yonsei Med J,2015,56:987-992.
  • 9金永健,李丹,梁晖,孙基栋.颅内动脉瘤夹闭术后残留动脉瘤的3D—DSA评估[J].中华神经外科杂志,2010,26(2):112-115. 被引量:5
  • 10曾强军,杨清,周明森,甘邻元.早期开颅手术夹闭颅内前循环动脉瘤[J].华西医学,2010,25(7):1276-1278. 被引量:2

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