动脉瘤患者的手术死亡率：年龄、血压及术前神经状态的影响。
Surgical mortality in an aneurysm population: effects of age, blood pressure and preoperative neurological state.
作者信息
Fortuny L A, Adams C B, Briggs M
出版信息
J Neurol Neurosurg Psychiatry. 1980 Oct;43(10):879-82. doi: 10.1136/jnnp.43.10.879.
Abstract
The mortality of 256 patients surgically treated for ruptured intracranial aneurysms was assessed with regard to age, systemic blood pressure on admission and preoperative neurological state. Increasing age, hypertension, and a poor neurological state (both singly and in combination) were found to influence surgical results dramatically. It is suggested that preoperative treatment of hypertension, and delay of operation in those patients aged over 50 years or hypertensive, as well as waiting for the neurological state to improve prior to operation, may lead to better results.
摘要
对256例接受手术治疗的颅内动脉瘤破裂患者的死亡率，就年龄、入院时的全身血压和术前神经状态进行了评估。发现年龄增长、高血压以及较差的神经状态（单独或合并存在）均会显著影响手术结果。建议对高血压进行术前治疗，对50岁以上或高血压患者延迟手术，并在术前等待神经状态改善，可能会取得更好的结果。
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