国际神经病学神经外科学杂志2018，Vol.45Issue(2)：155-158,4.DOI:10.16636/j.cnki.jinn.2018.02.012
Hunt-Hess Ⅴ级脑动脉瘤破裂的急诊手术治疗
Effect of emergency surgical treatment of patients with Hunt-Hess grade Ⅴ ruptured cerebral aneurysms
薛洪利 1孙荣君 1闻华 1崔宝川 1王金刚1
作者信息
- 1. 沈阳东北国际医院神经外科,沈阳110003
- 折叠
摘要
Abstract
Objective To investigate the significance and clinical effect of emergency surgical treatment of patients with Hunt-Hess grade Ⅴ ruptured cerebral aneurysms.Methods Since January 2007,7 patients with unilateral or bilateral pupil dilation and HuntHess grade Ⅴ ruptured cerebral aneurysms who were in a coma and did not undergo cerebral angiography were enrolled.According to the bleeding sites on head CT scan,targeted emergency craniotomy was performed to remove the hematoma and clip the aneurysms.The collapse of brain tissue was observed to decide whether to perform decompressive craniectomy or not.Results Of all 7 patients,1 was cured,2 were able to take care of themselves,3 were in a vegetative state,and 1 died after surgery.Among the 3 patients who were in a vegetative state,2 died of pulmonary infection at 3 months and 1 year after surgery,respectively.Conclusions Emergency surgical treatment of patients with Hunt-Hess grade Ⅴ ruptured cerebral aneurysms can significantly improve the prognosis of some patients and have a better effect than conservative treatment.关键词
脑动脉瘤/Hunt-Hess分级/治疗/手术Key words
Cerebral aneurysm/Hunt-Hess grade/Treatment/Surgery引用本文复制引用
薛洪利,孙荣君,闻华,崔宝川,王金刚..Hunt-Hess Ⅴ级脑动脉瘤破裂的急诊手术治疗[J].国际神经病学神经外科学杂志,2018,45(2):155-158,4.
