探讨夹闭动脉瘤手术中动脉瘤再次破裂出血的应急措施  

Discussion on emergency measures for aneurysm re-rupture during surgical clipping of aneurysm

作　　者：林乐江 LIN Le-jiang(Department of Neurosurgery,Rushan People＇s Hospital,Rushan,Shandong Province,264500 Chin)

机构地区：[1]山东省乳山市人民医院神经外科,山东乳山264500

出　　处：《世界复合医学》2018年第2期89-92,共4页World Journal of Complex Medicine

摘　　要：目的探讨开颅夹闭动脉瘤手术中动脉瘤再次破裂出血的应急措施。方法 2000年1月—2017年10月期间,该院开颅夹闭动脉瘤手术有23例术中动脉瘤再次破裂出血,回顾这23例手术中采取的紧急处理措施及结果。结果 2000年1月—2010年12月,有12例手术中动脉瘤再次破裂出血,未能控制出血流入视野,视野不清楚,手术慌乱盲目操作造成脑组织、血管及动脉瘤附近分支动脉损伤;2011年1月—2017年10月,有11例手术中动脉瘤再破裂出血。用吸引器吸住破口,控制出血流入视野,使手术顺利结束。结论夹闭动脉瘤手术中当动脉瘤再次破裂出血时,只有控制出血流于视野,才能使视野清楚,才能使手术顺利进行。Objective This paper tries to discuss the emergency measures of recurrent rupture of aneurysm during open aneurysm clamp-ing surgery. Methods From January 2000 to October 2017, 23 patients with intracranial aneurysm surgery underwent recurrent rupture of intracranial aneurysms. The emergency treatment measures and results taken in these 23 cases were reviewed. Results From Jan-uary 2000 to December 2010, 12 cases of intracranial aneurysm ruptured again and failed to control the flow of blood into the field of vision. The visual field was not clear. Operation and panic blindly caused brain tissue, blood vessels, and branch artery damage near the aneurysm; Between January 2011 and October 2017, there were 11 cases of intraoperative recurrent ruptured aneurysms. We use a suction device to suck the breach, control the flow of blood into the field of vision, and complete the operation smoothly. Conclusion During the aneurysm ruptures again, when the aneurysm is clamped, only when the bleeding is controlled in the visual field can the visual field be clear so that the operation can be performed smoothly.

关 键 词：夹闭动脉瘤 再破裂 控制出血 破口 

分 类 号：R619[医药卫生—外科学]