| 脑动脉瘤夹闭术中破裂的预防及处理 |
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| 引用本文： | 陈军,陈覃,李爱民,司宪平,吴海滨,施辉,王富元,江伟,刘希光. 脑动脉瘤夹闭术中破裂的预防及处理[J]. 临床神经外科杂志, 2005, 2(3): 110-112 |
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| 作者姓名： | 陈军 陈覃 李爱民 司宪平 吴海滨 施辉 王富元 江伟 刘希光 |
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| 作者单位： | 徐州医学院附属连云港医院神经外科,222002 |
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| 基金项目： | 江苏省教育厅（2002KJD320036） |
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| 摘 要： | 目的 探讨手术中颅内动脉瘤破裂的预防及处理方法。方法 气管内插管全麻手术，在显露动脉瘤前：显露期间及夹闭过程中，采用显微手术、尽早显露并控制载瘤动脉近端，脑肿胀者去骨瓣减压。结果 按Jennett方法评定效果，良好44例，其中32例血管造影提示夹闭效果满意，较差2例，死亡10例。结论 术中颅内动脉瘤破裂可发生在手术整个过程的任何环节中，显微手术、尽早显露并控制载瘤动脉近端，可减少术中破裂，是保证手术成功的关键。
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| 关 键 词： | 颅内动脉瘤 动脉瘤术中破裂 手术 |
| 文章编号： | 1672-7770（2005）03-0110-03 |
| 收稿时间： | 2004-10-20 |
| 修稿时间： | 2005-01-27 |
Prevention and management of aneurysm rupture during operation |
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| CHEN Jun, CHEN Tan, LI Ai-min,et al.. Prevention and management of aneurysm rupture during operation[J]. Journal of Clinical Neurosurgery, 2005, 2(3): 110-112 |
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| Authors: | CHEN Jun CHEN Tan LI Ai-min et al. |
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| Affiliation: | CHEN Jun, CHEN Tan, LI Ai-min, et al. |
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| Abstract: | Objective To discuss the prevention and management of aneurysm rupture during operation. Methods To reduce blood presure 9. 3-12. 0 kPa(70-90 mmHg). The aneurysms of 56 cases were clipped, the parent artery of 6 cases were occluded and 2 cases with detachable balloons. Rusults 10 cases died postoperatively . The mortality rate was 15. 5%, and the morbidity rate was 18. 18%. Conclusions Intraoperative aneurysmal rupture usually occurred in time which were predissection and during dissection of the aneurysms and clip application. It seems possible to reduce incidence of intraoperative aneurysmal rupture and promote a good outcome by utilizing microsurgical technique, exposing proximal parent vessels of aneurysm early and applying the temporary clip reasonably. |
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| Keywords: | intracranial aneurysm rupture of aneurysm during operation operation |
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