早期手术夹闭破裂颅内动脉瘤的临床分析（附36例报告）

颅内动脉瘤破裂出血的致死率接近40%,再次破裂出血后的死亡率约为50%~75%1]。因此及时发现颅内动脉瘤,并选择合适手术方法、提高手术技巧,积极防治动脉瘤再次出血,对降低颅内动脉瘤患者死、残率,提高临床疗效有重要意义。本院自2001年6月至2005年9月,对36例破裂颅内动脉瘤患者

The clinical analysis of early clamping intracranial aneurysm microsurgery(36 case report).

Objective To investigate the clinical characteristics of ruptured intracranial aneurysms and the therapeutic results of early clamping microsurgery.Methods Thirty-six patients with confirmative ruptured intracranial aneurysms were analyzed retrospectively.All the patients were treated with early clamping microsurgery and followed up for more than 6 months.The clinical characteristics of ruptured intracranial aneurysms and the results of early treatment were analysed.Results Of 36 patients,3 patients died(8%),5 patients were severely disabled(14%),5 patients mildly disabiled(14%),23 patients recovered(64%).Follow-up observations found no recurrence of aneurysms rupture in all the patients.Conclusion Once the diagnosis was confirmed,patients should be operated as early as possible.Clamping microsurgery can decrease blooding risk,disablity likelihood and mortality.