脑动静脉畸形破裂出血的急性期显微手术治疗  

Microsurgical Treatment for Hemorrhage of Cerebral Arteriovenous Malformation Combinated Hemorrhage During the Acute Stage

作　　者：杨汉兵[1] 陈红[2] 陈双龙[1] 李俊[1] 

机构地区：[1]资阳市简阳市人民医院,四川资阳641400 [2]资阳市人民医院,四川资阳641300

出　　处：《现代临床医学》2010年第2期128-130,共3页Journal of Modern Clinical Medicine

摘　　要：目的:探讨脑动静畸形(CAVM)破裂出血急性期手术疗效和临床特征。方法:回顾分析30例CAVM破裂出血患者急性期的不同治疗方法和疗效。结果:30例中1期血肿清除联合CAVM显微切除术19例,1期单纯血肿清除联合2期CAVM显微切除术5例,血肿清除联合γ刀治疗2例,血肿清除联合栓塞术1例,双侧脑室外引流3例。30例中死亡3例,昏迷1例,其余患者神经功能较术前均有不同程度的改善。结论:CAVM破裂出血急性期外科手术的正确判断和恰当处理是关键,应争取在血肿清除同时切除畸形血管。Objective：To study operation treatment and clinical characteristics of the acute cerebral arteriovenous malformations（CAVM） rupture and hemorrhage.Methods：30 cases were retrospectively analyzed for the effect of different treatment methods.Results：19 cases received stage I hematoma removal and CAVM microscopic removal;5 cases received stage I simple hematoma removal and stage II CAVM microscopic removal;2 cases undertook hematoma removal and γ-knife therapy;1 case undertook hematoma removal and embolism operation;bilateral ventricle exterior drainage was performed on 3 cases;2 cases died,1 case was in coma state,and other nervous function Was improved to various degrees after the operation.Conclusion：It is very important to select operative treatment correctly and properly acute stage of CAVM rupture and hemorrhage,Evacuation of hematoma and resection of CAVM should be treated for this disease at the same time.

关 键 词：脑动静脉畸形 脑出血 急诊手术 

分 类 号：R743.4[医药卫生—神经病学与精神病学]