脑动静脉畸形破裂出血并脑疝的急诊手术治疗  

Emergent Surgical Treatment of Acute Hemorrhagic Intracranial Arteriovenous Malformation with Intracerebral Herniation

作　　者：魏健[1] 刘维生[2] 王永和[2] 曹培成[2] 卜振富[2] 

机构地区：[1]潍坊医学院外科学教研室,山东潍坊261053 [2]潍坊医学院附属潍坊市人民医院神经外科

出　　处：《潍坊医学院学报》2013年第4期274-276,共3页Acta Academiae Medicinae Weifang

摘　　要：目的探讨脑动静脉畸形(AVMs)破裂出血并脑疝的急诊手术问题。方法回顾性分析我院17例AVMs急性破裂出血合并脑疝并行急诊手术治疗的病例资料。结果患者术后半年COS评定疗效,良好4例,中残6例,重残2例,植物生存2例,死亡3例。术后并发肺部感染4例,皮瓣下积液2例,颅内感染并脑积水1例,迟发血肿1例。结论急诊手术治疗是AVMs破裂出血并脑疝首选治疗方法,能够提高病人生存率,降低致残率。Objective To study the emergent operative treatment of acute hemorrhagic cerebral arteriove-nous malformations（AVMs） with cerebral herniation.Methods A retrospective analysis of 17 patients with acute hemor-rhagic cerebral AVMs with cerebral herniation was carried out ,who were treated with emergent operative treatment .Re-sults According to GOS scale six month after operation ,4 patients recovered well,moderately disabled in 6 cases,se-verely disabled in 2 cases,vegetably survived in 2 cases,3 patients died after operation,4 cases with pneumonia after op-eration,2 cases with subdural hydroma ,1 case with intracranial infection and hydrocephalus ,1 case with recurrent hema-toma.Conclusion The emergent hematoma debridement and AVMs excision by microneurosurgery is the optimal effec-tive method to treat AVMs with cerebral herniation because it can heighten survival rate and decrease disability rate .

关 键 词：脑动静脉畸形(AVMs) 脑内血肿 脑疝 急诊手术 

分 类 号：R743.4[医药卫生—神经病学与精神病学]