| 前交通动脉瘤破裂的急诊手术处理 |
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| 引用本文： | Li Y,Luo L,Zhang D,Lin Z. 前交通动脉瘤破裂的急诊手术处理[J]. 中华医学杂志, 2002, 82(12): 818-819 |
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| 作者姓名： | Li Y Luo L Zhang D Lin Z |
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| 作者单位： | 210006,南京医科大学附属南京市第一医院神经外科 |
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| 摘 要： | 目的：探讨前交通动脉瘤破裂的急诊手术处理效果和治疗要点。方法：急诊开颅夹闭破裂前交通动脉瘤21例,按Hunt-Hess分级,其中Ⅲ级9例,Ⅳ级10例,Ⅴ级2例。结果：21例手术患者中出院时恢复良好者16例,中残2例,重残1例,死亡2例。术前Hunt-Hess分级为Ⅲ级者无一例死亡。结论：急诊手术夹闭前交通动脉瘤能防止因动脉瘤再次破裂引起的直接死亡和病情恶性,及时清除血肿,减轻脑血管痉挛,改善患者的预后。
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| 关 键 词： | 前交通动脉瘤破裂 急诊 外科手术 治疗 颅内动脉瘤 |
Management of ruptured aneurysm of anterior communicating artery by emergency operation |
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| Li Yingbin,Luo Liangsheng,Zhang Dunzi,Lin Zhong. Management of ruptured aneurysm of anterior communicating artery by emergency operation[J]. Zhonghua yi xue za zhi, 2002, 82(12): 818-819 |
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| Authors: | Li Yingbin Luo Liangsheng Zhang Dunzi Lin Zhong |
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| Affiliation: | Department of Neurosurgery, Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing 210006, China. |
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| Abstract: | OBJECTIVE: To investigate the effectiveness of emergency operation on ruptured anterior communicating artery. METHODS: Twenty-one cases of ruptured anterior communicating aneurysms, 9 of grade III, 10 of grade IV and 2 grade V according to Hunt-Hess classification, were treated by emergency clipping. RESULTS: By the time of being discharged from hospital, 16 patients were perfectly recovered, 2 suffered from moderated disability, 1 suffered from severe disability and 2 were dead. No patients of grade III before operation died. CONCLUSION: Emergency clipping of ruptured aneurysm of anterior communicating artery prevents death and deterioration of condition caused by aneurysmal re-rupture and relieves the secondary cerebral vasospasm, thus decreasing the mortality and improving the prognosis. |
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| Keywords: | Anterior communicating artery Emergency operation |
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