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动脉瘤性蛛网膜下腔出血后脑血管痉挛的治疗及临床分析
引用本文:廖锋,王穗暖,宣井岗,彭亚,屈洪涛.动脉瘤性蛛网膜下腔出血后脑血管痉挛的治疗及临床分析[J].临床神经外科杂志,2009,6(1):32-34.
作者姓名:廖锋  王穗暖  宣井岗  彭亚  屈洪涛
作者单位:常州市第一人民医院神经外科,江苏常州,213003
摘    要:目的探讨颅内动脉瘤性蛛网膜下腔出血后脑血管痉挛的治疗方法。方法对动脉瘤性蛛网膜下腔出血71例患者的临床资料进行回顾性分析。结果71例均在出血后早期(72h内)行动脉瘤栓塞术或开颅动脉瘤夹闭术。术后均予尼莫地平,脑脊液引流,3-H疗法等治疗,共发生症状性血管痉挛22例,12例恢复良好,9例中重度残疾,1例死亡。结论尽早行开颅动脉瘤夹闭术或动脉瘤栓塞术,术后予尼莫地平、脑脊液引流、3-H疗法等是治疗和预防动脉瘤破裂后脑血管痉挛的有效方法。

关 键 词:脑血管痉挛  动脉瘤  蛛网膜下腔出血

Treatment and clinical analysis of cerebral vasospasm after aneurysmal subarachnoidal hemorrhage
LIAO Feng,WANG Sui-nuan,XUAN Jing-gang,et al..Treatment and clinical analysis of cerebral vasospasm after aneurysmal subarachnoidal hemorrhage[J].Journal of Clinical Neurosurgery,2009,6(1):32-34.
Authors:LIAO Feng  WANG Sui-nuan  XUAN Jing-gang  
Institution:LIAO Feng,WANG Sui-nuan,XUAN Jing-gang,et al.Department of Neurosurgery,The First People's Hospital,Changzhou,213003 China.
Abstract:Objective To discuss the treatment of cerebral vasospasm after subarachnoid hemorrhage.Methods The clinical records and radiographic images of 71 patients with aneurismal subarachnoid hemorrhage were reviewed.Results All of them were treated by surgical occlusion using aneurysm clips or embolized by microcoil in earlier period.After the operations,all were treated with Nimodipine,cerebrospinal fluid drainage,3-H therapy.Cerebral symptomatic vasospasm occurred in 22 patients.Of which,12 was cured well,9 was ...
Keywords:cerebral vasospasm  aneurysm  subarachnoid hemorrhage  
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