摘要
目的 :对应用颈动脉内膜剥脱术改善大脑血液循环、预防和治疗缺血性脑卒中进行评价。方法 :1999年10月～ 2 0 0 2年 6月经MRI筛选对 4 6例颈动脉狭窄度超过 5 0 %的患者行颈动脉内膜剥脱术。所有病例均采用颈丛阻滞麻醉 ,对双侧颈动脉均有狭窄者 ,采用术侧颈动脉临时转流术。结果 :随访 2～ 2 4个月 ,4 5例(98.7% )患者术后恢复良好 ,1例 (2 .2 % )术后 30d死于严重心肺功能不全。结论 :严重颈动脉狭窄患者行预防性内膜剥脱术 ,对预防和治疗缺血性脑卒中的发生具有满意的疗效。
Objective:To evaluate efficacy cartid endarterectomy in improvement of cerebral circulation and in prevention ischemic stroke. Methods:From Oct, 1999 to Jun, 2002,carotid endarterectomy was performed in 46 patients with carotid stenosis more than 50% detected by MRI. Temporary in traluminal shunts were used in the cases with serious bilateral carotid stenosis.Results:In the following 2～24 months, 45 patients(98.7%) were recovered, only one case(2.2%) died of severe cardiac and pulmonary faliure 30 days after operation.Conclusions:Carotid endarterectomy is a good measure for patients with severe carotid stenosis to provent stroke.
出处
《中国现代医学杂志》
CAS
CSCD
2003年第13期74-75,共2页
China Journal of Modern Medicine
