陕西医学杂志Issue(8)：952-954,3.DOI:10.3969/j.issn.1000-7377.2014.08.006
颅内动脉瘤夹闭术后发生脑血管痉挛的危险因素及预防措施分析
Incarceration of aneurysms intracranial cerebral vasospasm after analysis of the risk factors and preventive measures
摘要
Abstract
Objective:To incarceration of intracranial aneurysm occurs after a risk factor for cerebral vas-ospasm and its prevention measures were discussed and analyzed .Methods:Selected in March 2010 to March 2013 treated in our hospital ,a total of 121 patients with incarceration of aneurysm as the research object .To collect and organize of the clinical data of patients ,according to the postoperative patients with clinical symptoms ,cranial CT and transcranial doppler ultrasonography (TCD) blood test to determine the postoperative cerebral vasospasm ,and patients'age ,sex ,operation time and grade of disease ,and whether the aneurysm rupture ,etc .,and the risk of postoperative cerebral vasospasm and prognosis of correlation research ,in order to analysis for incarceration of in-tracranial aneurysms occurs after a risk factor for cerebral vasospasm .Results :Patients aged ≤50 ,intracranial sub-arachnoid hemorrhage (SAH) surgery within 3 days ,improved Fisher grading > Ⅱ level and number of preopera-tive SAH ≥ twice and Hunt-Hess > Ⅲ level of patients with high risk of postoperative cerebral vasospasm (P<0 .05) ,while gender and whether intraoperative aneurysm rupture has no obvious relation with the risk of postopera-tive cerebral vasospasm (P>0 .05) .Conclusion:According to characteristics of the role of the above factors ,incar-ceration of intracranial aneurysms before the operation should be fully assess the risk in patients with preoperative and postoperative complications of risk factors ,and strengthen the perioperative detection and nursing ,in order to better prevent and reduce the incidence of cerebral vasospasm after incarceration of intracranial aneurysms .关键词
颅内动脉瘤/外科学/血管痉挛 ,颅内/危险因素Key words
Intracranial aneurysm/surgery/Vasospasm ,intracranial/Risk factors分类
医药卫生引用本文复制引用
冯家丰,杨成,崔伟,刘进..颅内动脉瘤夹闭术后发生脑血管痉挛的危险因素及预防措施分析[J].陕西医学杂志,2014,(8):952-954,3.基金项目
2011年四川省卫生厅科研课题立项 （）
