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手术治疗颅内动脉瘤的长期预后。第1部分:死亡率。

Long-term prognosis in surgically treated intracranial aneurysms. Part 1: Mortality.

作者信息

Artiola i Fortuny L, Prieto-Valiente L

出版信息

J Neurosurg. 1981 Jan;54(1):26-34. doi: 10.3171/jns.1981.54.1.0026.

DOI:10.3171/jns.1981.54.1.0026
PMID:7463117
Abstract

A series of 265 consecutive cases of intracranial aneurysm were reviewed to assess mortality and its causes. Preoperative and postoperative factors were considered in isolation and in combination. The mortality rate was 20%. Postoperative generalized vasospasm was found to be the major cause of mortality. Advanced age, hypertension, and a poor neurological state at operation were associated with poor results. The study emphasizes the importance of considering variables in combination rather than singly in the assessment of prognosis.

摘要

回顾了连续265例颅内动脉瘤病例,以评估死亡率及其原因。对术前和术后因素分别及综合进行了考量。死亡率为20%。术后全身性血管痉挛被发现是主要死亡原因。高龄、高血压以及手术时神经状态不佳与不良结果相关。该研究强调了在评估预后时综合而非单独考虑变量的重要性。

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Long-term prognosis in surgically treated intracranial aneurysms. Part 1: Mortality.手术治疗颅内动脉瘤的长期预后。第1部分:死亡率。
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引用本文的文献

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Current controversies in the prediction, diagnosis, and management of cerebral vasospasm: where do we stand?脑动脉痉挛预测、诊断及治疗中的当前争议:我们处于什么位置?
Neurol Res Int. 2013;2013:373458. doi: 10.1155/2013/373458. Epub 2013 Oct 8.
2
One-year outcome in early aneurysm surgery: prediction of outcome.
Acta Neurochir (Wien). 1993;123(1-2):25-32. doi: 10.1007/BF01476281.
3
Transcranial Doppler diagnosis of cerebral vasospasm following subarachnoid haemorrhage: correlation and analysis of results in relation to the age of patients.经颅多普勒超声诊断蛛网膜下腔出血后脑血管痉挛:与患者年龄相关的结果相关性及分析
Acta Neurochir (Wien). 1994;127(1-2):32-6. doi: 10.1007/BF01808543.
4
Retrospective analysis of 162 consecutive cases of ruptured intracranial aneurysms. Total mortality and early surgery.对162例连续颅内动脉瘤破裂病例的回顾性分析。总死亡率和早期手术。
Acta Neurochir (Wien). 1984;70(1-2):31-41. doi: 10.1007/BF01406040.
5
A long-term follow-up study of juvenile aneurysm patients.
Acta Neurochir (Wien). 1985;77(3-4):103-9. doi: 10.1007/BF01476214.
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Microsurgical treatment of intracranial aneurysm in the elderly.老年人颅内动脉瘤的显微外科治疗
Ital J Neurol Sci. 1985 Jun;6(2):197-9. doi: 10.1007/BF02229192.
7
[The phenomenology and morphology of spontaneous fatal cerebral aneurysmal hemorrhages].[自发性致命性脑动脉瘤出血的现象学与形态学]
Z Rechtsmed. 1986;96(4):245-73. doi: 10.1007/BF00200705.
8
Spontaneous subarachnoid haemorrhage: expert system for appraisal of the prognosis and computer-supported decision for therapy.自发性蛛网膜下腔出血:预后评估专家系统及计算机辅助治疗决策
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Fatal aneurysmal rupture: a survey of 60 grade-5 cases.
Acta Neurochir (Wien). 1990;106(3-4):127-31. doi: 10.1007/BF01809454.