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[脑动脉瘤早期手术治疗后缺血性并发症的预后]

[Prognosis of ischemic complications following early surgical treatment of cerebral aneurysms].

作者信息

Krylov V V, Kulikov Iu G, Zakharov A G

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1995 Oct-Dec(4):11-3.

PMID:8686388
Abstract

A summarized severity index has been defined on the basis of 11 preoperative findings from clinical and neurological studies, cerebral angiography, computerized tomography of the brain, and electroencephalography in 71 patients operated on for early aneurysmal rupture. The value of the summary severity index has a closely linear negative correlation with the likelihood of favourable postoperative outcomes: with a high summarized index, a risk for postoperative ischemic events and deaths increases. The paper shows it advisable to predict postoperative ischemic complications while defining indications for early aneurysmal surgical treatment.

摘要

基于对71例早期动脉瘤破裂手术患者的临床和神经学研究、脑血管造影、脑部计算机断层扫描及脑电图检查的11项术前检查结果,定义了一个总结严重程度指数。总结严重程度指数的值与术后良好预后的可能性呈密切的线性负相关:总结指数越高,术后缺血性事件和死亡的风险就越高。本文表明,在确定早期动脉瘤手术治疗的适应症时,预测术后缺血性并发症是可取的。

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