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大脑中动脉瘤破裂出血致脑疝超早期手术治疗32例分析 被引量：2

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摘要 目的探讨大脑中动脉动脉瘤破裂并发颅内血肿、脑疝时的超早期CTA诊断及急诊手术治疗。方法回顾性分析2009年1月-2014年10月我院收治的32例三维CTA诊断大脑中动脉动脉瘤破裂的脑疝患者的临床资料,分析三维CTA在大脑中动脉动脉瘤破裂引起脑疝超早期手术治疗中的指导作用。结果本组32例患者术中均夹闭大脑中动脉瘤,无多发动脉瘤。M1分叉处动脉瘤22例,大脑中动脉M1主干动脉瘤2例,M2段动脉瘤5例,M3段动脉期3例。术中动脉瘤再次破裂9例。术后复查头颅CT颅内血肿基本清除22例,大部分清除8例,部分清除2例。术后有6例患者CT证实有脑梗死。所有患者3个月后随访时GOS评分恢复良好(5分)15例,轻度病残(4分)8例,重度病残(3分)5例,植物生存(2分)1例,死亡(1分)3例。结论头颅CTA检查是排除颅内动脉瘤破裂及脑疝患者的重要参考依据,同时对于疾病诊断、治疗方式有重要意义。
作者 石罡 钱希颖 陶维华 洪孙权 杨雷
机构地区 昆明医科大学 云南省第一人民医院
出处 《中国医学工程》 2015年第6期106-107,共2页 China Medical Engineering
基金 云南省卫生科技研究项目(2011WS012)
关键词 大脑中动脉动脉瘤 颅内血肿 脑疝 超早期手术
分类号 R732.21 [医药卫生—肿瘤]
  • 相关文献

参考文献6

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二级参考文献20

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共引文献39

同被引文献14

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二级引证文献5

中国医学工程
2015年 第6期

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