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破裂脑动脉瘤早期手术的探讨
引用本文:杨立庄,郑永日,蒋传路,康军,金道云. 破裂脑动脉瘤早期手术的探讨[J]. 中国微侵袭神经外科杂志, 1996, 0(3)
作者姓名:杨立庄  郑永日  蒋传路  康军  金道云
作者单位:哈尔滨医科大学第二附属医院神经外科 哈尔滨150086(杨立庄,郑永日,蒋传路,康军),哈尔滨医科大学第二附属医院神经外科 哈尔滨150086(金道云)
基金项目:黑龙江省科委资助课题(课题号G91CE—24—03)
摘    要:早期手术治疗34例破裂脑动脉瘤,其中位于颈内动脉24例,前交通动脉9例,大脑后动脉1例.27例治愈,4例好转,3例死亡.早期手术的主要目的是预防再出血,清除蛛网膜下腔积血,以预防脑血管痉挛.

关 键 词:脑动脉瘤  血管痉挛  夹闭术

Early operation for ruptured in- tracranial aneurysms
Yang Lizhuang,Zheng Yongri,Jiang Chuanlu etal. Early operation for ruptured in- tracranial aneurysms[J]. Chinese Journal of Minimally Invasive Neurosurgery, 1996, 0(3)
Authors:Yang Lizhuang  Zheng Yongri  Jiang Chuanlu etal
Affiliation:Yang Lizhuang,Zheng Yongri,Jiang Chuanlu etalDepartment of Neurosurgery,Second AffiliatedHospital,Harbin Medical University
Abstract:Thirty-four cases of ruptured in-tracranial aneurysms were operated in the earlystage. Among them,there were 24 cases with in-ternal carotid artery aneurysms, 1 case with pos-terior cerebral artery aneurysm and 9 cases withanterior communicating artery aneurysms. Afteroperation,27 patients have been cured and 4 pa-tients improved and 3 patients died.The main purpose of early operation of rup-tured intracranial aneurysms was to prevent re-bleeding and to remove the extravasated blood inthe subarachnoid space to prevent vasospasm.The drainage of subarachmoid cistern and ven-triclar fluid after operation not only provide agood recovery for surgical approach, but alsoplay an important role in preventing cerebral va-sospasm.
Keywords:intracranial aneurysm clip va-sospasm
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