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[动脉瘤性蛛网膜下腔出血的治疗]

[Therapy of aneurysm-induced subarachnoid hemorrhage].

作者信息

Mehdorn H M, Hoffmann B, Ackermann L, Grupe H, Feldges A

机构信息

Neurochirurgische Universitätsklinik Essen.

出版信息

Neurochirurgia (Stuttg). 1988 Sep;31 Suppl 1:175-8. doi: 10.1055/s-2008-1053930.

Abstract

Based on our experience with 115 consecutive patients treated in our department for aneurysmal subarachnoid haemorrhage between August 1984 and January 1988, problems of patient selection for early and late surgery as well as medical therapy are discussed. Overall surgical mortality was 6.7%. Surgical mortality was 12.1% for patients operated within 72 hours post SAB, whereas it was 4.2% for patients treated at later intervals. The value of transcranial Doppler sonography for timing of aneurysm surgery is stressed.

摘要

根据我们在1984年8月至1988年1月期间对本部门连续治疗的115例动脉瘤性蛛网膜下腔出血患者的经验,讨论了早期和晚期手术以及药物治疗的患者选择问题。总体手术死亡率为6.7%。在蛛网膜下腔出血后72小时内进行手术的患者手术死亡率为12.1%,而在较晚时间进行治疗的患者手术死亡率为4.2%。强调了经颅多普勒超声在动脉瘤手术时机选择中的价值。

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