摘要
目的探讨颅内动脉瘤性蛛网膜下腔出血后脑血管痉挛的治疗方法。方法对动脉瘤性蛛网膜下腔出血71例患者的临床资料进行回顾性分析。结果71例均在出血后早期(72h内)行动脉瘤栓塞术或开颅动脉瘤夹闭术。术后均予尼莫地平,脑脊液引流,3-H疗法等治疗,共发生症状性血管痉挛22例,12例恢复良好,9例中重度残疾,1例死亡。结论尽早行开颅动脉瘤夹闭术或动脉瘤栓塞术,术后予尼莫地平、脑脊液引流、3-H疗法等是治疗和预防动脉瘤破裂后脑血管痉挛的有效方法。
Objective To discuss the treatment of cerebral vasospasm after subarachnoid hemorrhage. Methods The clinical records and radiographic images of 71 patients with aneurismal subarachnoid hemorrhage were reviewed. Results All of them were treated by surgical occlusion using aneurysm clips or embolized by microcoil in earlier period. After the operations, all were treated with Nimodipine, cerebrospinal fluid drainage,3-H therapy. Cerebral symptomatic vasospasm occurred in 22 patients. Of which, 12 was cured well, 9 was to take a turn for the better but has more neurofunctional absence, 1 was dead. Conclusions Surgical management or endovascular management in earlier period, then taking the Nimodipine, draining eerebrospinal fluid,3-H therapy and so on, are the effective measures for precauting and treating cerebral vasospasm after subarachnoid hemorrhage.
出处
《临床神经外科杂志》
CAS
2009年第1期32-34,共3页
Journal of Clinical Neurosurgery
