颅内动脉瘤血管内治疗的麻醉进展  

Advances in Anesthesia for Endovascular Treatment of Cerebral Aneurysm

作　　者：阮剑辉[1] 张燕辉[1] 

机构地区：[1]广州军区武汉总医院麻醉科,武汉430070

出　　处：《医学综述》2016年第14期2818-2821,共4页Medical Recapitulate

摘　　要：颅内动脉瘤破裂是引发蛛网膜下腔出血的复杂原因之一,致残率、病死率高。其主要治疗方法有血管内治疗和开颅动脉瘤夹闭术。过去依赖于开颅动脉瘤夹闭手术,以防再次出血。目前,越来越多的人选择血管内治疗颅内动脉瘤。其麻醉方法众多,由早期的局部麻醉发展至神经安定、监护下麻醉,以至目前选择较多的全身麻醉方法,麻醉方法选择范围广泛。Subaraehnoid hemorrhage due to rupture of cerebral aneurysms is a nauhisystem disease, which can lead to high morbidity and mortality. There are two main treatments,including endovascular treat- ment and surgical clipping for the aneurysm. Treatment in the past has relied on craniotomy and clipping of the aneurysm to prevent a recurrent hemorrhage. At present, more and more people choose endovascular treat- ment for intracranial aneurysms. There are a lot of anesthesia ways to be selected, from the early local anes- thesia to nerve stability anesthesia, to anesthesia under supervision, and the more commonly chosen method- general anesthesia.

关 键 词：颅内动脉瘤 血管内治疗 麻醉 

分 类 号：R541.1[医药卫生—心血管疾病]