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[低血压状态下颅内囊状动脉瘤的压力]

[Pressure in intracranial saccular aneurysms in the presence of hypotension].

作者信息

Zlotnik E I, Korotkevich E A, Kupriianenko R A, Maruk I M

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1979(1):8-12.

PMID:425780
Abstract

The pressure in saccular aneurysms of various localizations was studied in 6 patients during neurosurgical operations. The systolic, diastolic, mean, and pulse pressure in aneurysms with a wide neck corresponded to systemic pressure; in aneurysms with a narrow neck (3 patients) they were lower. In occlusion of the carotid artery on the neck, the pressure in the anurysms decreased. Pulsations disappeared in 3 patients. Fourteen patients with aneurysm of the internal carotid artery were followed-up for 2--17 years, after ligation of the carotid artery on the neck. There were no recurrent hemorrhages. Despite the clinical effect, however, due to possible complications this operation has limited indications (subclinoid aneurysms, refusal of patients to undergo intracranial operations).

摘要

在神经外科手术期间,对6例不同部位囊状动脉瘤患者的瘤内压力进行了研究。宽颈动脉瘤的收缩压、舒张压、平均压和脉压与体循环压力相当;3例窄颈动脉瘤的上述压力则较低。在颈部结扎颈动脉时,动脉瘤内压力降低。3例患者的动脉瘤搏动消失。对14例颈内动脉瘤患者在颈部结扎颈动脉后进行了2至17年的随访。未出现复发性出血。然而,尽管有临床效果,但由于可能出现并发症,该手术的适应证有限(床突下动脉瘤、患者拒绝接受开颅手术)。

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1
[Pressure in intracranial saccular aneurysms in the presence of hypotension].[低血压状态下颅内囊状动脉瘤的压力]
Zh Vopr Neirokhir Im N N Burdenko. 1979(1):8-12.
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