颅内动脉瘤急诊介入治疗术后神经系统并发症的危险因素  

Risk factors of neurological complications after emergency interventional therapy for intracranial aneurysms

作　　者：杨兴华[1] 褚沛[1] Yang Xinghua;Chu Pei(Emergency Department,the First Hospital of Lanzhou University,Gansu Lanzhou 730000)

机构地区：[1]兰州大学第一医院急诊科,甘肃兰州730000

出　　处：《中国社区医师》2021年第18期69-70,共2页Chinese Community Doctors

摘　　要：目的:探讨颅内动脉瘤急诊介入治疗术后神经系统并发症的危险因素。方法:2018年3月-2020年3月收治颅内动脉瘤破裂患者128例,均行急诊介入术治疗,统计术后神经系统并发症发生率,分析相关危险因素。结果:术后神经系统并发症发生率为13.28%;脑梗死病史、高血压病史、Hunt-Hess分级Ⅳ~Ⅴ级、WFNS分级Ⅲ~Ⅴ级、Fisher分级Ⅲ~Ⅳ级、瘤体形态不规则、动脉瘤囊有小阜、宽颈动脉瘤为术后发生神经系统并发症的独立危险因素(P<0.05)。结论:脑梗死病史、高血压病史、Hunt-Hess分级Ⅳ~Ⅴ级、WFNS分级Ⅲ~Ⅴ级、Fisher分级Ⅲ~Ⅳ级、瘤体形态不规则、动脉瘤囊有小阜、宽颈动脉瘤是导致颅内动脉瘤急诊介入治疗术后神经系统并发症发生的独立危险因素。Objective:To investigate the risk factors of nervous system complications after emergency interventional therapy for intracranial aneurysms.Methods:From March 2018 to March 2020,128 cases of patients with intracranial aneurysm rupture were enrolled,all patients were treated with emergency intervention,then the incidence of postoperative nervous system complications was counted and the related risk factors were analyzed.Results:The incidence of postoperative neurological complications was13.28%.History of cerebral infarction,hypertension,Hunt-Hess with grade Ⅳ-Ⅴ,WFNS with grade Ⅲ-Ⅴ,Fisher with grade Ⅲ-Ⅳ,irregular shape of tumor,small caruncle in aneurysm sac and wide carotid artery aneurysm were independent risk factors for postoperative neurological complications(P<0.05).Conclusion:History of cerebral infarction,hypertension,Hunt-Hess with grade Ⅳ-Ⅴ,WFNS with grade Ⅲ-Ⅴ,Fisher with grade Ⅲ-Ⅳ,irregular shape of tumor,small caruncle in aneurysm sac and wide carotid artery aneurysm are independent risk factors for nervous system complications after emergency interventional therapy of intracranial aneurysms.

关 键 词：颅内动脉瘤 介入治疗 神经系统并发症 危险因素 

分 类 号：R743.4[医药卫生—神经病学与精神病学]