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目的 :探讨对疑似动脉血管瘤破裂引起的自发性蛛网膜下腔出血患者进行急诊手术探查的临床效果。方法 :对2010年8月~2013年8月期间我院收治的40例疑似动脉血管瘤破裂引起的自发性蛛网膜下腔出血患者的临床资料进行回顾性研究。对这40例患者均进行急诊手术探查及治疗。术后,观察这些患者的探查结果、进行治疗的方法及效果。结果 :经过手术探查,这40例患者的病情均被确诊为动脉瘤破裂。其中,有9例患者为前交通动脉瘤破裂,有13例患者为后交通动脉瘤破裂,有18例患者为大脑中动脉瘤破裂。在这40例患者中,有39例患者进行了去除骨瓣的治疗。在这40例患者中,有34例患者的治疗效果为良好,有1例患者的治疗效果为轻残,有1例患者的治疗效果为重残,有1例患者为植物生存,有3例患者死亡。结论 :对疑似动脉血管瘤破裂引起的自发性蛛网膜下腔出血患者进行急诊手术探查及治疗,可在明确的诊断的基础上及时对其进行治疗,且进行治疗的效果较好。此方法值得在临床上推广使用。
Objective: To investigate the clinical effect of emergency surgery in patients with spontaneous subarachnoid hemorrhage caused by the rupture of suspected arterioles. Methods: The clinical data of 40 patients with spontaneous subarachnoid hemorrhage caused by the rupture of 40 suspected aneurysms in our hospital from August 2010 to August 2013 were retrospectively studied. All 40 patients underwent emergency surgical exploration and treatment. After surgery, observe the results of these patients exploration, treatment methods and effects. Results: After surgical exploration, the 40 patients were diagnosed with aneurysm rupture. Among them, 9 patients had ruptured anterior communicating aneurysms, 13 had ruptured posterior communicating aneurysms and 18 had ruptured cerebral aneurysms. In these 40 patients, 39 patients were treated with bone flap removal. Of the 40 patients, 34 had good treatment, 1 had mild disability, 1 had severe disability, 1 had plant survival, and 3 had The patient died. CONCLUSION: Emergency surgical exploration and treatment of patients with spontaneous subarachnoid hemorrhage caused by the rupture of the suspected aneurysm can be treated in time and on a clear diagnosis basis, and the treatment effect is better. This method is worth promoting in clinic.