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老年人颅内动脉瘤的手术范围:初步报告

Scope of surgery for intracranial aneurysm in the elderly: a preliminary report.

作者信息

Sengupta R P, Lassman L P, Hankinson J

出版信息

Br Med J. 1978 Jul 22;2(6132):246-7. doi: 10.1136/bmj.2.6132.246.

DOI:10.1136/bmj.2.6132.246
PMID:678887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1606364/
Abstract

Thirty-two elderly patients were reviewed six months to six years after intracranial surgery for subarachnoid haemorrhage. Out of 24 patients whose surgical outcome had been satisfactory, one had died from an unrelated illness and the remainder were well and leading normal lives. Eight patients had a poor outcome, which in some cases was due to factors other than age. In only three could a poor outcome be attributed to early surgery and advanced age. The results confirm that in at least three-quarters of patients aged 60-65 the risk of further haemorrhage can be removed by surgery without causing a major neurological deficit.

摘要

对32例老年患者进行了回顾性研究,这些患者在接受颅内手术治疗蛛网膜下腔出血后的6个月至6年。在手术结果满意的24例患者中,1例死于无关疾病,其余患者情况良好,过着正常生活。8例患者预后较差,在某些情况下是由于年龄以外的因素。只有3例患者预后差可归因于早期手术和高龄。结果证实,在至少四分之三的60 - 65岁患者中,手术可以消除进一步出血的风险,且不会导致严重的神经功能缺损。

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引用本文的文献

1
Differences in the management of ruptured intracranial aneurysms: a survey of practice amongst British neurosurgeons.颅内动脉瘤破裂治疗的差异:英国神经外科医生的实践调查
J Neurol Neurosurg Psychiatry. 1987 Aug;50(8):965-70. doi: 10.1136/jnnp.50.8.965.
2
Morbidity and mortality after early aneurysm surgery--a prospective study with nimodipine prevention.
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本文引用的文献

1
Hypothermia, and interruption of carotid, or carotid and vertebral circulation, in the surgical management of intracranial aneurysms.低温以及在颅内动脉瘤手术治疗中阻断颈动脉或颈动脉与椎动脉循环。
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Ruptured intracranial aneurysms.颅内动脉瘤破裂
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3
Use of epsilon aminocaproic acid (EACA) in the preoperative management of ruptured intracranial aneurysms.ε-氨基己酸(EACA)在破裂颅内动脉瘤术前管理中的应用。
J Neurosurg. 1976 Apr;44(4):479-84. doi: 10.3171/jns.1976.44.4.0479.
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Ruptured intracranial aneurysms. Case morbidity and mortality.颅内动脉瘤破裂。病例发病率和死亡率。
J Neurosurg. 1977 Mar;46(3):290-5. doi: 10.3171/jns.1977.46.3.0290.
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Subarachnoid haemorrhage above the age of 59: are intracranial investigations justified?59岁以上人群的蛛网膜下腔出血:颅内检查是否合理?
Br Med J. 1978 Feb 25;1(6111):465-6. doi: 10.1136/bmj.1.6111.465.
6
Prolonged antifibrinolysis: an effective non-surgical treatment for ruptured intracranial aneurysms?延长抗纤溶治疗:一种治疗破裂颅内动脉瘤的有效非手术方法?
Br Med J. 1978 Apr 15;1(6118):945-7. doi: 10.1136/bmj.1.6118.945.