期刊文献+

颅内动脉瘤术后并发症导致死亡4例诊治分析 被引量:1

下载PDF
导出
摘要 颅内动脉瘤是由于局部血管异常改变产生的脑血管瘤样突起,临床症状多由动脉瘤出血引起,部分因瘤体压迫脑组织、脑血管痉挛(CVS)及栓塞造成,主要见于中年人(30~60岁),青年人较少见.颅内动脉瘤破裂引起蛛网膜下腔出血(SAH)的年发病率为0.006%~0.0356%,居于脑血管意外第3位[1].颅内动脉瘤出血是神经外科最为凶险的急重症疾病之一,约1/3的患者于就诊前死亡,1/3在医院死亡,1/3经治疗后得以存活.为减少颅内动脉瘤诊疗过程中的意外死亡情况,吸取经验教训,现将我院2006年1月至2011年12月颅内动脉瘤术后并发症导致死亡的4例患者分析报道如下.
出处 《浙江医学》 CAS 2015年第6期507-509,共3页 Zhejiang Medical Journal
  • 相关文献

参考文献6

  • 1Demirgil B T, Tugeu B, Postalci L, et al. Factors leading to hy- dro-cephalus after anemysmal sub-arachnoid hemorrhage [J]. Minim Inva-sive Neuresurg,2003,46:344-348.
  • 2Martinez Manas R,Ibanez G,Macho J,et aI.A study of 234 patients with subarachnoid Hemorrhage of aneurysmic and cryptogenic origin[J]. Neurecirurgia(Astur),2002,13:181-193.
  • 3Topcuoglu M A, Pryor J C. Cerebral vasospasm following sub- arachnoid hemorrhage[J]. Curr Treat Options Cardiovase Med, 2002,4:373-384.
  • 4赵继宗,李京生,王硕,隋大立,孟国路,刘巍,孙建军.颅内动脉瘤1041例显微手术治疗临床研究[J].中华医学杂志,2003,83(1):6-8. 被引量:110
  • 5沈建康.动脉瘤性蛛网膜下腔出血后脑血管痉挛的现代诊断和治疗[J].中国脑血管病杂志,2008,5(2):79-86. 被引量:26
  • 6Awe O O, Gonzalez L F, Hasan D, et al. Treatment outcome of a- neurismal subaraclmoid hemorrhage in patients aged 70 years and older[J]. Neurosurgery,2011,68(3):753-758.

二级参考文献79

  • 1吴建中,蒋京生,苏敏成,尹可,闫丽,杨纯正,刘瑞林.764-3对蛛网膜下腔出血后脑血管痉挛的防治[J].中华神经外科杂志,1994,10(1):22-24. 被引量:11
  • 2马景鑑,杨树源,魏伟,岳树源,钟跃,杨卫东,张大建,朱士广,朱涛,李萌,杨玉山,李牧,苏炳华,鄂正刚.盐酸法舒地尔治疗蛛网膜下腔出血所致脑血管痉挛的临床Ⅱ期试验研究[J].中华神经外科杂志,2006,22(1):36-40. 被引量:102
  • 3[1]Suarez JI,Tarr RW,Selman WR,et al.Aneurysmal subarachnoid hemorrhage[J].N Engi J Med,2006,354:387-396.
  • 4[2]Mayberg MR,Okada T,Bark DH.The significance of morphological changes in cerebral arteries after subarachnoid hemorrhage[J].J Neurosurg,1990,72:626-633.
  • 5[3]Findlay JM.Cerebral vasospasm//Youmam JR,eds.Youmans neurological surgery[M].4nd ed.New York:WB Sannden Company,1996:1839-1867.
  • 6[4]Fisher CM,Kistler JP,Davis JM.Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computed tomographic scanning[J].Neurosurgery,1980,6:1-9.
  • 7[5]Frontera JA,Claassen J,Schmidt JM,et al.Prediction of symptomatic vasospam after subarachnoid hemorrhage:the modified Fisher scale[J].Neurosurgery,2006,59:21-27.
  • 8[6]Vora YY,Suarez-Almazor M,Steinke DE,et al:Role of transcranial Doppler monitoring in the diagnosis of cerebral vasospasm after subarachnoid hemorrhage[J].Neurosurgery,1999,44:1237-1247.
  • 9[7]Lysakowski C,Walder B,Costanza MC,et al.Transcranial Doppler versus angiogTaphy in patients with vasospasm due to a ruptured cerebral aneurysm:a systematic review[J].Stroke,2001,32:2292-2298.
  • 10[8]Venkatesh B,Shen Q,Lipman J,et al.Continuous measurement of cerebral blood flow velocity using transeranial Doppler reveals significant moment-to-moment variability of data in healthy volunteers and in patients with subarachnoid hemorrhage[J].Crit Care Med,2002,30:563-569.

共引文献133

同被引文献4

引证文献1

二级引证文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部