国际神经病学神经外科学杂志2024，Vol.51Issue(4)：36-40,5.DOI:10.16636/j.cnki.jinn.1673-2642.2024.04.006
脑破裂动脉瘤术前再破裂的危险因素分析
Risk factors for preoperative rerupture of cerebral ruptured aneurysms
曹武阳 1李晖 2赵天浩 2李征3
作者信息
- 1. 中南大学湘雅医学院附属常德医院(常德市第一人民医院)神经外科,湖南常德 415003
- 2. 中南大学湘雅医院神经外科,湖南长沙 410008
- 3. 湖南省平江县第一人民医院,湖南平江 410400
- 折叠
摘要
Abstract
Objective To investigate the risk factors for preoperative rerupture of cerebral ruptured aneurysms.Methods Clinical data were collected from the patients with ruptured cerebral aneurysms who were admitted to Xiangya Hospital of Central South University from January 2018 to December 2021,and the multivariate logistic regression method was used for statistical analysis.Results A total of 526 patients with ruptured cerebral aneurysms were enrolled,among whom there were 192 male patients and 334 female patients.Of all patients,43(8.17％)experienced rerupture of cerebral ruptured aneurysms before surgery,and the multivariate logistic regression analysis showed that ruptured cerebral aneurysms with sub-aneurysms,systolic pressure ≥160 mmHg after admission,and a time of＞6 hours from onset to admission were risk factors for rerupture of cerebral ruptured aneurysms before surgery.Conclusions Patients with ruptured cerebral aneurysms should be admitted as soon as possible,and patients with sub-aneurysms or poor blood pressure control before surgery should receive treatment as soon as possible to reduce the risk of preoperative rerupture of ruptured cerebral aneurysms.关键词
动脉瘤/手术前/再次破裂/危险因素Key words
aneurysm/preoperative/rerupture/risk factors分类
医药卫生引用本文复制引用
曹武阳,李晖,赵天浩,李征..脑破裂动脉瘤术前再破裂的危险因素分析[J].国际神经病学神经外科学杂志,2024,51(4):36-40,5.
