摘要
目的 探讨动脉瘤术中破裂的对应措施。方法 在控制性低血压下按动脉瘤的解剖特点游离动脉瘤。一旦破裂出血 ,可临时夹闭载瘤动脉 ,或在破裂口处压以涂上医用生物胶的一小块明胶海绵封闭破裂口 ,出血控制后稳妥地夹闭瘤颈。结果 73例中 6 8例行动脉瘤颈夹闭术。其余 5例 ,分别行囊壁切除动脉修补术、瘤体切除术及颈内动脉血管重建术。治愈率为 93.2 % ,病死率 6 .8%。结论 按动脉瘤的解剖特点游离动脉瘤是控制动脉瘤术中破裂出血的前提 ;有预见性地采用控制性低血压和暂时阻断载瘤动脉或用涂以医用生物胶的小块明胶海绵封闭破裂口是术中控制动脉瘤破裂出血的重要应急措施。
Objective To discuss corresponding measure of intraoperative rupture of intracranial aneurysms.Methods Under controlled hypotension the aneurysms were come off on the basis of anatomy. Once the aneurysms ruptured and bleed the parent artery should be clipped with artery clip temporarily or the rupture blocked with gelatin sponge and medical adhesive and the aneurysm neck clipped after hemorrhage had been controlled. Results 68 aneurysms of 73 cases were completely clipped by aneurysm clip. Crystal wall were excised and artery was repaired. The aneurysm body was excised as well as internal carotid artery was rebuilt in the other 5 cases. The cure rate was 93.2% and mortality was 6.8% .Conclusion Following the aneurysmal anatomic and pathological feature, the aneurysm was come off to control the hemorrhage of intraoperative aneurysm rupture. The come off to control emergency measures during intraoperative aneurysm rupture are administrating the controlled hypotension anesthesia and blocking the parent artery or closing the rupture position with gelatin sponge and medical adhesive.
出处
《卒中与神经疾病》
2002年第3期151-153,共3页
Stroke and Nervous Diseases
关键词
颅内动脉瘤
术中破裂
对应措施
Intracranial aneurysm Intraoperative rupture Corresponding measure
