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本文报道1982年3月~1993年8月11年中动脉瘤患者住院期间手术前死亡25例,其中男性9例,女性16例,男∶女为1∶1.8。动脉瘤发生于颈内动脉者6例,前交通动脉者5例,后交通动脉者9例,大脑中动脉者3例,大脑后动脉者1例,基底动脉者1例。本文从患者动脉瘤再次破裂死亡与前一次破裂的关系,与动脉造影的关系,与出血次数的关系,与动脉血管痉挛的关系等几个方面分析,认为再出血,造影后动脉瘤破裂,血管痉挛等是造成动脉瘤未手术前死亡,使患者失去手术时机的主要原因,试图为患者顺利度过术前准备期提供帮助。
This article reports 25 cases of death before surgery from March 1982 to August 11 in 1993. Among them, there were 9 males and 16 females, male and female were 1:1.8. Aneurysms occurred in 6 cases of internal carotid artery, 5 cases of anterior communicating artery, 9 cases of posterior communicating artery, 3 cases of middle cerebral artery, 1 case of posterior cerebral artery, and 1 case of basilar artery. This article analyzes the relationship between the rupture of the patient’s aneurysm ruptured again and the previous rupture, the relationship with the arterial angiography, the relationship with the number of hemorrhages, and the relationship with the arterial vasospasm. It is considered that the rebleeding, the ruptured aneurysm, and the blood vessel after angiography Deafness is the main cause of the death of an aneurysm before surgery, causing the patient to lose the timing of surgery, and tries to help the patient to spend the preoperative preparation period.