颅内动脉瘤：显微神经外科手术结果分析
Intracranial aneurysms: analysis of results of microneurosurgery.
作者信息
Adams C B, Loach A B, O'laoire S A
出版信息
Br Med J. 1976 Sep 11;2(6036):607-9. doi: 10.1136/bmj.2.6036.607.
Abstract
Subarachnoid haemorrhage from intracranial aneurysms has a poor prognosis. Operative management of intracranial aneurysms was once considered ineffective. The first 100 cases treated by micorsurgery were analysed to see whether mortality and morbidity were reduced. Modern surgical techniques halved the total mortality but the morbidity was unaltered. Results can be improved by delaying surgery seven days and by treating any hypertension before surgery.
摘要
颅内动脉瘤引起的蛛网膜下腔出血预后较差。颅内动脉瘤的手术治疗曾被认为无效。对首批接受显微手术治疗的100例病例进行分析，以观察死亡率和发病率是否降低。现代外科技术使总死亡率减半，但发病率未变。通过将手术推迟7天以及在手术前治疗任何高血压情况，结果可以得到改善。
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