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连续100例早期动脉瘤手术的结果。

The outcome in 100 consecutive cases of early aneurysm surgery.

作者信息

Ljunggren B, Brandt L

出版信息

Acta Neurochir (Wien). 1982;63(1-4):215-9. doi: 10.1007/BF01728875.

DOI:10.1007/BF01728875
PMID:7102413
Abstract

A retrospective study has been carried out on 100 consecutive patients undergoing direct surgery for ruptured aneurysms of the anterior part of the Circle of Willis within 3 days following subarachnoid haemorrhage. All patients were preoperatively in neurological Grades I, II or III. 76% of the patients made a good recovery whilst the morbidity was 10% and the mortality 14%. The results are compared with the estimated results of delayed treatment as well as with the natural history of the disease. The incidence of hydrocephalus requiring a shunt procedure was 2% and the incidence of permanent ischaemic deficits of delayed onset 16%.

摘要

对100例蛛网膜下腔出血后3天内接受 Willis 环前部破裂动脉瘤直接手术的连续患者进行了回顾性研究。所有患者术前神经功能分级为I、II或III级。76%的患者恢复良好,发病率为10%,死亡率为14%。将结果与延迟治疗的估计结果以及疾病的自然史进行了比较。需要分流手术的脑积水发生率为2%,延迟性永久性缺血性缺陷的发生率为16%。

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本文引用的文献

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Results of early operations for ruptured aneurysms.动脉瘤破裂早期手术的结果。
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