CTA辅助动脉瘤性蛛网膜下腔出血的超早期治疗  

Ultra-early Surgery for Aneurysmal Subarachnoid Hemorrhage Using CTA

作　　者：钱希颖[1] 陶维华[1] 金立德[1] 赵建华[1] 洪孙权[1] 

机构地区：[1]云南省第一人民医院神经外科,云南昆明650032

出　　处：《系统医学》2016年第1期38-40,52,共4页Systems Medicine

基　　金：贵州省科技厅科学技术基金课题(黔科合J字[2010]2179号);遵义医学院博士启动基金课题(No:遵医院办发[2010]1)

摘　　要：目的探讨CTA辅助动脉瘤性蛛网膜下腔出血的超早期治疗的可行性和治疗效果。方法 2011年7月—2015年11月云南省第一人民医院神经外科在超早期共治疗128例自发性蛛网膜下腔出血患者,所有患者先行64排双源螺旋CT扫描并三维重建,证实有颅内动脉瘤后即在24 h内全麻下行开颅动脉瘤夹闭术。结果出院时预后良好92例(71.88%),预后差32例(25.00%),死亡4例(3.12%)。结论 CTA辅助动脉瘤性蛛网膜下腔出血的超早期治疗安全有效,具有良好的临床应用价值。Objective To investigate the possibility and therapeutic effect of ultra-early surgery for aneurysmal subarachnoid hemorrhage using CTA. Methods From July 2011 to Novembdr 2015,128 patients with spontaneous subarachnoid hemorrhage were treated in the department of neurosurgery, the First People＇s Hospital of Yunnan Province. All patients were scanned by spiral CT scanner, once intracranial aneurysms were confirmed, the intracranial aneurysm clipping were performed in 24 h. Results The therapeutic effects were good in 92 cases（71.88%）, worse in 32 cases（25.00%） and dead in 4 cases（3.12%）. Conclusions Ultra-early surgery for aneurysmal subarachnoid hemorrhage using CTA is safe and effective. It can be widely used in clinic.

关 键 词：计算机血管造影术 动脉瘤性蛛网膜下腔出血 超早期 

分 类 号：R743[医药卫生—神经病学与精神病学]