[急性期合并血管痉挛的脑动脉瘤的外科治疗]

[Surgical treatment of cerebral aneurysms complicated by vasospasm in the acute period].

作者信息

Krylov V V, Lebedev V V, Shelkovskiĭ V N, Kuksova N S, Zakharov A G

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1987 Mar-Apr(2):3-8.

Abstract

The results of clipping of an aneurysm in the acute period of subarachnoid hemorrhage are analysed. It is shown that vascular spasm is an increased risk factor if it involves up to 3-4 and more arterial basal segments and is attended by marked general cerebral and focal neurological symptomatology and gross disorders of cerebral function. Such vascular spasm is unfavourable from the standpoint of prognosis in determining the outcomes of the operation.

摘要

分析了蛛网膜下腔出血急性期动脉瘤夹闭术的结果。结果表明，如果血管痉挛累及多达3 - 4个及更多的动脉基底节段，并伴有明显的全脑和局灶性神经症状以及严重的脑功能障碍，那么它就是一个增加的危险因素。从判断手术结果的预后角度来看，这种血管痉挛是不利的。