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重症前交通动脉瘤的手术夹闭治疗

李炳伟,于金录,张楠,许侃

Journal of Apoplexy and Nervous Diseases（2015）

Cited 23|Views1
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Abstract
目的 总结14例重症前交通动脉瘤的夹闭治疗经验.方法 14例前交通动脉瘤破裂破入脑室的病例中,Hunt-Hess分级Ⅳ12例,Ⅴ级2例.诊断明确后先行脑室外引流术,而后再经翼点入路行动脉瘤夹闭术,观察其治疗结果,采用GOS评分进行判断预后.结果 GOS5分者9例,GOS4分者2例,GOS3分者2例,GOS1分者1例.结论 对于前交通动脉瘤破裂出血并破入脑室的危重患者,早期给予手术治疗时先给予行脑室外引流术再行颅内动脉瘤夹闭术是挽救前交通动脉瘤破裂出血并破人脑室的危重患者的成功关键.
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Key words
Anterior communicating artery aneurysms,Microsurgical clipping,Prognosis
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