3例动脉瘤夹闭术后脑梗塞的手术治疗报告  

Surgical Treatment of 3 Cases of Cerebral Infarction after Aneurysm Clipping

作　　者：胡少勇 姜浩斌[1,2] 张景硕 孙亦明[1,2] HU Shao-yong;JIANG Hao-bin;ZHANG Jing-shuo;SUN Yi-ming(Department of Neurosurgery,Hubei Hospital of Traditional Chinese Medicine,Wuhan 430061,Hubei,China;Hubei Institute of Traditional Chinese Medicine,Wuhan 430074,Hubei,China)

机构地区：[1]湖北省中医院神经外科,湖北武汉430061 [2]湖北省中医药研究院,湖北武汉430074

出　　处：《医学信息》2018年第7期189-189,192,共2页Journal of Medical Information

基　　金：中央级公益性科研院所基本科研业务费专项资金资助(编号:yz-1754)

摘　　要：回顾性分析我院2016年1月~2017年10月3例动脉瘤开颅夹闭术后脑梗塞患者的临床表现、手术时机及手术方法,总结此类患者发病特征、影像表现、手术方法及预后,并进行分析。本次动脉瘤夹闭术后3例女性患者出现精神状态、意识改变时,即行去骨瓣减压术、颞肌贴敷术治疗,3例患者术后均恢复良好。对于动脉瘤开颅夹闭术后脑梗塞患者,一旦出现精神变差、意识恶化,CT表现为脑梗塞,需及时行手术治疗。The clinical manifestations,surgical timing and surgical methods of 3 patients with cerebral infarction after aneurysm clipping from January 2016 to October 2017 in our hospital were analyzed retrospectively,and the characteristics,imaging manifestations,surgical methods and prognosis of these patients were summarized,and the analysis was carried out.Mental state appeared in 3 female patients after this aneurysm clipping operation.When the consciousness changed,all the 3 patients recovered well after decompression of bone flap and temporalis muscle application.For the patients with cerebral infarction after intracranial aneurysm clipping,once the mental state becomes worse,the CT manifestation of consciousness deterioration is cerebral infarction,which should be treated in time.

关 键 词：动脉瘤 术后 脑梗塞 手术 预防 

分 类 号：R651.12[医药卫生—外科学]