前交通动脉瘤破裂的急诊手术处理  

Management of ruptured aneurysm of anterior communicating artery by emergency operation

作　　者：李英斌[1] 罗良生[1] 张敦梓[1] 林忠[1] 

机构地区：[1]南京医科大学附属南京市第一医院神经外科,210006

出　　处：《中华医学杂志》2002年第12期818-819,共2页National Medical Journal of China

摘　　要：目的　探讨前交通动脉瘤破裂的急诊手术处理效果和治疗要点。方法　急诊开颅夹闭破裂前交通动脉瘤 2 1例 ,按Hunt Hess分级 ,其中Ⅲ级 9例 ,Ⅳ级 10例 ,Ⅴ级 2例。结果　 2 1例手术患者中出院时恢复良好者 16例 ,中残 2例 ,重残 1例 ,死亡 2例。术前Hunt Hess分级为Ⅲ级者无一例死亡。结论　急诊手术夹闭前交通动脉瘤能防止因动脉瘤再次破裂引起的直接死亡和病情恶化 ,及时清除血肿 ,减轻脑血管痉挛 。Objective To investigate the effectiveness of emergency operation on ruptured anterior communicating artery. Methods Twenty one cases of ruptured anterior communicating aneurysms, 9 of grade Ⅲ, 10 of grade Ⅳ and 2 grade Ⅴ according to Hunt Hess classification, were treated by emergency clipping. Results By the time of being discharged from hospital, 16 patients were perfectly recovered, 2 suffered from moderated disability, 1 suffered from severe disability and 2 were dead. No patients of grade Ⅲ before operation died. Conclusion Emergency clipping of ruptured aneurysm of anterior communicating artery prevents death and deterioration of condition caused by aneurysmal re rupture and relieves the secondary cerebral vasospasm, thus decreasing the mortality and improving the prognosis.

关 键 词：前交通动脉瘤破裂 急诊 外科手术 治疗 颅内动脉瘤 

分 类 号：R739.4[医药卫生—肿瘤]