摘要
目的:探讨颅内动脉瘤破裂出血并脑疝15例急诊手术的可行性。方法:先处理颅内血肿,后行动脉瘤显露、探查及夹闭术;对术中再次破裂出血者及时控制出血并夹闭瘤体。结果:动脉瘤夹夹闭动脉瘤14例,未发现动脉瘤1例;术后脑疝恢复11例,死亡4例。术中动脉瘤再次破裂7例。结论:动脉瘤破裂出血并脑疝病情危重,需要急诊手术;只要术前准备充分,即使在探查中动脉瘤再次出血,也能很好控制夹闭动脉瘤;但如果术中遗留未夹闭的动脉瘤将是导致术后潜在出血危险的原因,甚至危及生命。
Objective： To analyze the emergent operation in 15 patients with ruptured intracranial aneurysms accompa- nied by cerebral hernia. Methods： The intracerebral hematoma was firstly removed, then intracranial aneurysm clipping was adopted. The reruptured aneurysms in the operation were clipped immediately. Results： The intracranial aneurysm clipping was completed in 14 cases, the intracranial aneurysm was not found in one case. Eleven cases were survived and 4 cases deid after operation. The aneurysmal body was clipped successfully in 7 cases with reruptured aneurysms. Conclusion： For the patients with ruptured intracranial aneurysm accompanied by cerebral hernia, the aneurysm clipping is necessary and effective. For those with reruptured aneurysm it is also effective. The unclipped aneurysm after operation will be dangerous and sometimes lethal.
出处
《汕头大学医学院学报》
2008年第3期154-155,共2页
Journal of Shantou University Medical College
关键词
颅内动脉瘤
脑疝
手术
intracranial aneurysm, cerebral hernia, operation
