|本期目录/Table of Contents|

[1]祝斐,吴明,金卫星,等.大脑中动脉瘤破裂出血合并脑疝的急诊手术治疗[J].医学研究与战创伤救治(原医学研究生学报),2020,22(5):521-523.[doi:10.3969/j.issn.1672-271X.2020.05.015]
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大脑中动脉瘤破裂出血合并脑疝的急诊手术治疗()

《医学研究与战创伤救治》(原医学研究生学报)[ISSN:1672-271X/CN:32-1713/R]

卷:
第22卷
期数:
2020年5期
页码:
521-523
栏目:
出版日期:
2020-09-09

文章信息/Info

Title:
-
作者:
祝斐吴明金卫星彭智翔郭光亮沈峰余任喜万自成
作者单位:332000九江,解放军庐山康复疗养中心神经外科(祝斐、吴明、金卫星、彭智翔、郭光亮、沈峰、余任喜、万自成)
Author(s):
-
关键词:
大脑中动脉瘤颅内血肿脑疝急诊手术治疗
Keywords:
-
分类号:
R651.12
DOI:
10.3969/j.issn.1672-271X.2020.05.015
文献标志码:
B
摘要:
目的探讨大脑中动脉动脉瘤破裂出血合并脑疝时的显微手术与临床效果。方法回顾性分析解放军庐山康复疗养中心神经外科自2007年1月至2018年5月收治的35例大脑中动脉瘤破裂伴颅内血肿合并脑疝患者的临床资料。其中额叶2例、额颞叶3例、侧裂11例、颞叶19例;中线向对侧移位5~20 mm;伴蛛网膜下腔出血33例,单侧瞳孔扩大26例,双侧瞳孔散大9例;Hunt-Hess分级:Ⅳ级25例、Ⅴ级10例。所有患者采用动脉瘤手术夹闭、脑内血肿清除、去骨瓣减压手术进行治疗,以GOS标准为参考依据,评估临床疗效。结果术后复查头颅CT显示:血肿基本清除29例,大部分清除6例;基底节区脑梗死2例,顶叶梗死3例,脑肿胀伴大面积脑梗死2例。术后6个月GOS评价及分值赋予结果:死亡7例(1分)、植物生存4例(2分)、重残7例(3分)、中残6例(4分)、恢复良好11例(5分)。结论大脑中动脉瘤破裂出血合并脑疝的患者在急诊显微手术治疗后,颅内血肿通常能够得到有效清除,夹闭动脉瘤疗效良好,即使Ⅳ~Ⅴ级动脉瘤,积极治疗可获得较高的存活率。
Abstract:
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参考文献/References:

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相似文献/References:

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2020-09-09