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急诊手术治疗脑动静脉畸形破裂出血32例报告 被引量:7

The Clinical study of the operation effect of 32 cases of Cerebral arteriovenous malformations (AVMs) with hemorrhage.
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摘要 目的探讨脑动静脉畸形破裂出血的手术和临床特征。方法回顾性总结经CT、CT血管造影(CTA)、MR I、磁共振血管成像(MRA)、数字减影血管造影(DSA)及手术病理确诊的32例脑动静脉畸形破裂出血的手术抢救和治疗效果。结果开颅行血肿清除加畸形血管切除18例。血肿清除加部分血管电凝术3例。单纯脑室单侧或双侧引流术11例。恢复工作27例,生活不能自理2例,死亡3例。结论脑动静脉畸形破裂出血急性期外科手术的正确选择和恰当处理是关键。争取在血肿清除同时切除畸形血管是首选方法。术后常规行DSA全脑血管造影术。 Objective To study operative treatment and clinical characteristics of the cerebral arteriovenous malformations (AVM) rupture and hemorrhage. Methods Operative treatmen and its efficacy of 32 patients with AVM rupture and hemorrhage confirmed by CT, CTA, MRI, MRA, DSA, operation and pathalagical examonation were anslysed retrospectively. Results Craniotomy, evacuation of hematoma and resection of AVM were performed in 18 patients; evacuation of hematoma and electrical cautery hemostasis were performed in 3 patients; unilateral or bilateral ventricular drainage was performed in 11 patients. Three patients died. Conclusion It is very important to select operative treatment correctly and properly during acute stage of AVM rupture and hemorrhage. Evacuation of hematoma and resection of AVM are the treatment of choice for this particular disease. Digital subtraction angiography(DSA) should be taken routinely after operation.
出处 《临床和实验医学杂志》 2006年第8期1085-1085,1087,共2页 Journal of Clinical and Experimental Medicine
关键词 脑动静脉畸形 脑出血 急诊手术 数字减影 Cerebral arteriovenous malformation Hemorrhage Emergency Operation DSA
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