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目的总结22例电解可脱性弹簧圈（Guglielmidetachablecoil，GDC）超早期栓塞颅内破裂囊性动脉瘤的经验。方法女14例，男8例。年龄40～85岁，平均62岁。均以自发性蛛网膜下胜出血急诊入院手术。按HESS－HUNT分级Ⅲ级9例，Ⅳ级13例。基底动脉顶端动脉瘤8例，前交通动脉动脉瘤5例，颈内动脉－后交通动脉动脉瘤5例，海绵窦部动脉瘤2例，大脑中动脉分叉部动脉瘤2例。6例行球囊瘤颈成形术。术后常规给予低分子肝素7d。结果随访3个月到1年，无一例发生再出血。恢复良好14例，中等3例，2例恢复差，3例死亡。结论用GDC超早期栓塞治疗颅内破裂囊性动脉瘤是一个有效方法。
Objective To summarize the experience of ultra-early embolization of intracranial ruptured cystic aneurysm by 22 cases of Guglielmide tachable coil (GDC). Methods Female 14 cases, 8 males. Aged 40 to 85 years old, average 62 years old. All patients underwent spontaneous subarachnoid emergency admission. According to HESS-HUNT grade Ⅲ grade in 9 cases, grade Ⅳ in 13 cases. 8 cases of aortic aneurysm in the basilar artery, 5 cases of anterior communicating artery aneurysm, 5 cases of internal carotid artery - posterior communicating artery aneurysm, 2 cases of cavernous sinus aneurysm and 2 cases of middle cerebral artery bifurcation aneurysm. 6 cases of balloon tumor neck surgery. Postoperative routine administration of low molecular weight heparin 7d. The results were followed up for 3 months to 1 year, no case of rebleeding occurred. There were 14 cases recovered well, 3 cases were moderate, 2 cases recovered poorly and 3 cases died. Conclusion GDC ultra-early embolization of intracapsular ruptured cystic aneurysm is an effective method.