摘要
目的应用早期介入栓塞及显微手术等早期全程综合诊疗方法治疗急性破裂的颅内动脉瘤,以期降低病死率及病残率。方法120例颅内动脉瘤破裂出血患者入院时急诊综合救治及脑血管造影。早期(72 h内)介入栓塞或显微手术治疗。术后立即释放血性脑脊液,抗血管痉孪,保持脑灌注,防制并发症。结果良好95例,轻残18例,重残4例,死亡3例。治疗良好率达80%以上。住院期间再出血2例。导致昏迷的严重脑血管痉孪5例。结论对于颅内动脉瘤加强早期全程综合救治,早期介入栓塞或显微手术治疗,注意脑血管痉孪和脑积水防治,可有效减少住院期间再出血,防止或减轻严重脑血管痉孪和脑积水的发生,降低病死率,改善患者预后。
Objective To apply early comprehensive rescue including embolism and microsurgery for treating acute ruptured intracranial aneurysm in order to lower mortality and disability. Methods 120 patients with ruptured intracranial aneurysm were treated by early comprehensive rescue. All cases were given support treatment, emergency rescue and DSA after hospitalization. Embolism and microsurgery were done within 72 hours and releasing bleoding CSF were done after surgery to prevent complications. Results Good recovery was over 80% （ excellent in 95 ases,light disability in 18 cases, heavy disability in 4cases, and death in 3 cases ）. 2 cases relapsed during hospitalization. 5 cases were coma induced by serious cerebral vesospasm. Conclusion Early comprehensive treatment including embolism and microsurgery complication prevention may reduce rebleeding, serious vasospasm and hydrocephalus ,lower mortality and improve prognosis.
出处
《中国综合临床》
北大核心
2007年第8期741-742,共2页
Clinical Medicine of China
关键词
颅内动脉瘤
综合治疗
Intracranical aneurysm
Comprehensive rescue
