Early operation for ruptured intracranial aneurysms: comparative study with computed tomography.
Early operation for ruptured intracranial aneurysms: comparative study with computed tomography.
复制标题
颅内动脉瘤破裂的早期手术：与计算机断层扫描的比较研究。
作者：
I. Yamamoto;M. Hara;K. Ogura;Y. Suzuki;T. Nakane;N. Kageyama
本文对72例颅内动脉瘤破裂的早期手术结果与术前CT表现的关系进行了分析。手术结果、症状性血管痉挛的发展与术前CT扫描的高密度，特别是蛛网膜下腔局部厚层的存在之间存在相关性。然而，脑室增大的发生与术前CT表现没有关系。池或脑室引流可能有助于术前CT扫描显示严重蛛网膜下腔血块患者的简单术后过程。
The relationship between the results of early operation for ruptured intracranial aneurysms (72 cases) and the preoperative computed tomographic (CT) findings was studied. There was a correlation among the surgical results, the development of symptomatic vasospasm, and high density on the preoperative CT scan, particularly the presence of a localized, thick layer in the subarachnoid space. However, no relationship was found between the occurrence of ventricular enlargement and the preoperative CT findings. Cisternal or ventricular drainage might contribute to an uncomplicated postoperative course for patients with severe subarachnoid clot shown on the preoperative CT scan.