| 前循环颅内动脉瘤术中破裂的预防和处理 |
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| 引用本文： | 武琛,许百男,孙正辉,姜金利. 前循环颅内动脉瘤术中破裂的预防和处理[J]. 军医进修学院学报, 2009, 30(1): 37-38 |
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| 作者姓名： | 武琛 许百男 孙正辉 姜金利 |
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| 作者单位： | 解放军总医院,神经外科,北京,100853 |
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| 摘 要： | 目的：探讨颅内动脉瘤术中破裂的预防和处理。方法：回顾性总结87例颅内动脉瘤术中预防出血及出血后的处理。结果：8例发生术中破裂，占同期动脉瘤手术的9．2％；分别采取动脉瘤夹闭、孤立、切除等方法处理动脉瘤；术后GOS评分：良好4例，重残3例，死亡1例。结论：颅内动脉瘤术中出血的关键在于对载瘤动脉的控制，充分的脑池开放和临时阻断可以有效的预防术中动脉瘤破裂。
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| 关 键 词： | 颅内动脉瘤 动脉瘤 破裂 |
Prevention and treatment of intraoperative aneurysm rupture |
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| WU Chen,XU Bai-nan,SUN Zheng-hui,JIANG Jin-li. Prevention and treatment of intraoperative aneurysm rupture[J]. Academic Journal of Pla Postgraduate Medical School, 2009, 30(1): 37-38 |
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| Authors: | WU Chen XU Bai-nan SUN Zheng-hui JIANG Jin-li |
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| Affiliation: | Department of Neurosurgery;Chinese PLA General Hospital;Beijing 100853;China |
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| Abstract: | Objective: To explore the prevention and treatment of intraoperative aneurysm rupture.Methods: We retrospectively analyzed 87 cases of intracranial aneurysms.In accordance with the different locations,sizes and topographies of the aneurysms,exposure of cervical carotid artery and temporary parent artery occlusion were used to prevent the rupture of aneurysms.When the aneurysm ruptured,parent artery was occluded or the aneurysm was trapped,and then the aneurysm was properly treated.Results: There were 8 case... |
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| Keywords: | intracranial aneurysm aneurysm ruptured |
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