[1]胡少勇,姜浩斌,张景硕,等.3例动脉瘤夹闭术后脑梗塞的手术治疗报告[J].医学信息,2018,31(07):189-189192.[doi:10.3969/j.issn.1006-1959.2018.07.068]
　HU Shao-yong,JIANG Hao-bin,ZHANG Jing-shuo,et al.Surgical Treatment of 3 Cases of Cerebral Infarction after Aneurysm Clipping[J].Journal of Medical Information,2018,31(07):189-189192.[doi:10.3969/j.issn.1006-1959.2018.07.068]
点击复制

3例动脉瘤夹闭术后脑梗塞的手术治疗报告()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年07期
页码:
189-189192
栏目:
出版日期:
2018-04-01

文章信息/Info

Title:
Surgical Treatment of 3 Cases of Cerebral Infarction after Aneurysm Clipping
文章编号:
1006-1959（2018）07-0189-02
作者:
胡少勇1; 2; 姜浩斌1; 2; 张景硕1; 2; 孙亦明1; 2
1.湖北省中医院神经外科，湖北 武汉 430061；2.湖北省中医药研究院，湖北 武汉 430074
Author(s):
HU Shao-yong1; 2; JIANG Hao-bin1; 2; ZHANG Jing-shuo1; 2; SUN Yi-ming1; 2
1.Department of Neurosurgery,Hubei Hospital of Traditional Chinese Medicine,Wuhan 430061,Hubei,China; 2.Hubei Institute of Traditional Chinese Medicine,Wuhan 430074,Hubei,China
关键词:
动脉瘤; 术后; 脑梗塞; 手术; 预防
Keywords:
Key words：Aneurysm; Postoperative; Cerebral infarction; Operation; Prevention
分类号:
R651.1+2
DOI:
10.3969/j.issn.1006-1959.2018.07.068
文献标志码:
B
摘要:
回顾性分析我院2016年1月~2017年10月3例动脉瘤开颅夹闭术后脑梗塞患者的临床表现、手术时机及手术方法，总结此类患者发病特征、影像表现、手术方法及预后，并进行分析。本次动脉瘤夹闭术后3例女性患者出现精神状态、意识改变时，即行去骨瓣减压术、颞肌贴敷术治疗，3例患者术后均恢复良好。对于动脉瘤开颅夹闭术后脑梗塞患者，一旦出现精神变差、意识恶化，CT表现为脑梗塞，需及时行手术治疗。
Abstract:
Abstract：The clinical manifestations,surgical timing and surgical methods of 3 patients with cerebral infarction after aneurysm clipping from January 2016 to October 2017 in our hospital were analyzed retrospectively,and the characteristics,imaging manifestations,surgical methods and prognosis of these patients were summarized,and the analysis was carried out.Mental state appeared in 3 female patients after this aneurysm clipping operation.When the consciousness changed,all the 3 patients recovered well after decompression of bone flap and temporalis muscle application.For the patients with cerebral infarction after intracranial aneurysm clipping,once the mental state becomes worse,the CT manifestation of consciousness deterioration is cerebral infarction, which should be treated in time.

参考文献/References:

[1]Ogilvy CS,Carter BS,Kaplan S,et al.Temporary vessel occlusion for aneurysm surgery:Risk factors for stroke in patients protected by induced hypothermia and hypertension and intravenous mannitol administration[J].J Neurosurg,1996,84(5):785-791. [2]吴群,吴盛,凌晨晗,等.颅内动脉瘤破裂急性期与非急性期手术184例分析[J].中华急诊医学杂志,2010,19(8):858-861. [3]Rosenorn J.The risk of ischaemic brain damage during the use of selt-retaining retractors[J].Acta Neural Seand,1998,79 (Suppl 120):1-30.

相似文献/References:

[1]丁保锋.胃肠道恶性肿瘤患者术后肺部感染临床分析[J].医学信息,2018,31(11):183.[doi:10.3969/j.issn.1006-1959.2018.11.061]
　DING Bao-feng.Clinical Analysis of Postoperative Pulmonary Infection in Patients with Malignant Gastrointestinal Cancer[J].Journal of Medical Information,2018,31(07):183.[doi:10.3969/j.issn.1006-1959.2018.11.061]
[2]徐 伦,张旭伟,骆 孟,等.女性前交通动脉瘤破裂风险因素分析[J].医学信息,2020,33(24):178.[doi:10.3969/j.issn.1006-1959.2020.24.053]
　XU Lun,ZHANG Xu-wei,LUO Meng,et al.Analysis of Risk Factors for Rupture of Female Anterior Communicating Artery Aneurysm[J].Journal of Medical Information,2020,33(07):178.[doi:10.3969/j.issn.1006-1959.2020.24.053]

更新日期/Last Update: 2018-04-01