| 以电解可脱性弹簧圈急诊栓塞破裂动脉瘤 |
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| 引用本文： | 陈左权,朱诚,白如林,张光霁,高桥明,江面正幸. 以电解可脱性弹簧圈急诊栓塞破裂动脉瘤[J]. 第二军医大学学报, 2000, 21(6): 569-571 |
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| 作者姓名： | 陈左权 朱诚 白如林 张光霁 高桥明 江面正幸 |
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| 作者单位： | 1. 第二军医大学长征医院神经外科,上海,200003
2. 日本仙台广南病院血管内神经外科 |
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| 基金项目： | 上海市卫生局重大课题!脑血管病防治研究(98ZB0 0 3) |
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| 摘 要： | 总结２７例以电解可脱性弹簧圈（ＧＤＣ）急诊栓塞破裂动脉瘤的体会。方法：自发性蛛网膜下腔出血患者２７例,女１７例,男１０例,年龄４０－８５岁。２５例在急性ＳＡＨ发病１２ｈ内行ＧＤＣ动脉栓塞。动脉瘤的大小为３－２２ｍｍ。６例动脉瘤,颈较宽的患者行瘤颈成形术。术后常规给予低分子肝素７ｄ。７名患者ＧＤＣ栓塞后鞘内给予ｔ－ＰＡ。结果：动脉瘤栓塞后随访３个月至１年,无１例发生再出血,恢复良好１７例,中等５例。
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| 关 键 词： | 电解可脱性弹簧 蛛网膜下腔出血 栓塞破裂动脉瘤 |
| 修稿时间： | 】 |
Emergent embolism of ruptured intracranial aneurysm with guglielmi detachable coil |
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| CHEN Zuo-Quan,ZHU Cheng,BAI Ru-Lin,ZHANG Guang-Ji,Akira Takahashi,Masayuki Ezura. Emergent embolism of ruptured intracranial aneurysm with guglielmi detachable coil[J]. Former Academic Journal of Second Military Medical University, 2000, 21(6): 569-571 |
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| Authors: | CHEN Zuo-Quan ZHU Cheng BAI Ru-Lin ZHANG Guang-Ji Akira Takahashi Masayuki Ezura |
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| Abstract: | Objective: To summarize 27 cases of ruptured intracranial aneurysms urgently embolized with guglielmi detachable coil (GDC). Methods: Twenty seven patients aged 40 85 years old were studied. Seventeen were female and 10 were male. Twenty five were urgently treated with GDC embolization within 12 h after acute subarachnoid hemorrhage. Aneurysm size was from 3 to 22 mm. Neck plasty (remodeling) technique was performed in 6 wide necked aneurysms. Seven patients were treated with intrathecal t PA administration after GDC embolism. Results: During the follow up period (3 months to 1 year), no aneurysm presented rerupture. Good recovery was got in 17 patients, moderate in 5 patients and poor in 2. Three patients died. Vasospasm occurred in 6 patients. Conclusion: GDC embolism is a promising treatment for ruptured intracranial aneurysms. |
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| Keywords: | guglielmi detachable coil aneurysm embolism subarachnoid hemorrage |
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