论文部分内容阅读
1981～1989年,作者收治脑动脉瘤破裂1周内手术患者240例,分析早期手术后脑血管痉挛与预后的关系。患者年龄19～74岁,平均51.9岁。男104例,女136例。动脉瘤位于前交通动脉84例,颈内动脉80例,大脑中动脉64例,大脑前动脉9例。基底动脉3例。术前按 GCS 将患者分为15、14～13、12～7分3组,依次分别为117例、70例、53例。术后6个月,按 GCS 分为 GR、MD、SD、V、D5级。根据术后是否发生脑血管痉挛分为3组:无痉挛组(临床无脑血管痉挛症状,CT 正常);症状性痉挛组(出现脑血管痉挛症状,CT 无低密度区);梗塞组(CT 有低密度灶)。以上脑血管痉挛症状和 CT 低密度灶均除外手术操作、出血等原因所致。
From 1981 to 1989, the author admitted 240 patients with intracranial aneurysm rupture within one week and analyzed the relationship between cerebral vasospasm and prognosis after early operation. Patients aged 19 to 74 years, mean 51.9 years. 104 males and 136 females. Aneurysms were located in 84 cases of anterior communicating artery, 80 cases of internal carotid artery, 64 cases of middle cerebral artery and 9 cases of anterior cerebral artery. 3 cases of basilar artery. According to GCS, patients were divided into 15,14 ~ 13,12 ~ 7 points three groups, followed by 117 cases, 70 cases and 53 cases. Six months after surgery, according to the GCS is divided into GR, MD, SD, V, D5 level. According to whether postoperative cerebral vasospasm is divided into 3 groups: no spasm group (clinical no cerebral vasospasm symptoms, normal CT); symptomatic spasm group (cerebral vasospasm symptoms, CT no low density area); infarction group (CT There are low-density stoves). More than the symptoms of cerebral vasospasm and CT low density lesions were surgical procedures, bleeding and other causes.