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[早期手术治疗的破裂脑动脉瘤患者的选定预后因素分析]

[Analysis of selected prognostic factors in patients with ruptured cerebral aneurysms operated-on in the early period].

作者信息

Bazowski P, Gamrot J, Rudnik A, Konopka M

机构信息

I Katedry i Kliniki Neurochirurgii SL AM, Katowicach.

出版信息

Neurol Neurochir Pol. 1992;Suppl 1:25-8.

PMID:1407306
Abstract

An analysis of certain clinical and laboratory findings of 80 patients with ruptured intracranial aneurysms was done. All of them underwent an operation in acute stage. The following prognostic factors were analysed: age of patient, sex, number of previous subarachnoid hemorrhages (SAH), clinical status according to the Hunt-Hess scale, CT finding according to Fisher scale, location and number of aneurysms, time of operation, Nimodipine treatment, body temperature, serum sodium level, white blood count just before operation, mean blood pressure, coexistence of heart and kidney disease. A special computer programme was used to analyse the value of the above factors on follow-up and the final results of the ruptured intracranial aneurysms treated surgically in acute stage.

摘要

对80例颅内动脉瘤破裂患者的某些临床和实验室检查结果进行了分析。他们均在急性期接受了手术。分析了以下预后因素:患者年龄、性别、既往蛛网膜下腔出血(SAH)次数、根据Hunt-Hess量表的临床状态、根据Fisher量表的CT表现、动脉瘤的位置和数量、手术时间、尼莫地平治疗、体温、血清钠水平、术前白细胞计数、平均血压、心肾疾病共存情况。使用一个特殊的计算机程序分析上述因素对随访的价值以及急性期手术治疗的颅内动脉瘤破裂的最终结果。

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