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目的 :总结 2 7例以电解可脱性弹簧圈 (GDC)急诊栓塞破裂动脉瘤的体会。 方法 :自发性蛛网膜下腔出血患者 2 7例。女 17例 ,男 10例 ,年龄 40～ 85岁。 2 5例在急性 SAH发病 12 h内行 GDC动脉瘤栓塞。动脉瘤的大小为 3～ 2 2 m m。 6例动脉瘤颈较宽的患者行瘤颈成形术。术后常规给予低分子肝素 7d。 7名患者 GDC栓塞后鞘内给予 t- PA.结果 :动脉瘤栓塞后随访 3个月到 1年 ,无 1例发生再出血。恢复良好 17例 ,中等 5例 ,2例恢复差 ,3例死亡。有 6例发生血管痉挛。结论 :用GDC急诊栓塞为治疗破裂动脉瘤开拓了新途径。
Objective: To summarize the experience of 27 cases of aneurysm embolism ruptured with Electrolytic detachable coil (GDC). Methods: 27 cases of spontaneous subarachnoid hemorrhage. 17 females, 10 males, aged 40 to 85 years old. Twenty-five patients underwent GDC aneurysm embolization within 12 hours of onset of acute SAH. The size of aneurysm is 3 ~ 2 2 m m. In 6 patients with wide aneurysm neck neoplasms were performed. Postoperative routine administration of low molecular weight heparin 7d. Seven patients received intrathecal administration of t-PA after GDC embolization.Results: All patients were followed up for 3 months to 1 year after embolization of the aneurysm, and none of the patients had rebleeding. There were 17 cases recovered well, 5 cases were moderate, 2 cases recovered poorly and 3 cases died. There are 6 cases of vasospasm. Conclusion: GDC emergency embolization opens up a new way for the treatment of ruptured aneurysms.