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早期手术治疗４５例破裂脑动脉瘤，其中颈内动脉瘤１５例，前交通动脉瘤１８例，大脑前动脉瘤１例，大脑中动脉瘤１１例。破裂后３天内手术者３１例，其余在４～６天手术。术后死亡６例。Ｗｉｌｌｉｓ环前半部破裂的脑动脉瘤，如无明显血管痉挛，可在６天内行早期手术治疗。除了夹闭瘤蒂、杜绝再出血的危险外，下列措施：术中清除脑池内凝血块、应用罂粟碱溶液冲洗脑池、静脉投用胰岛素及去骨瓣减压等对于防止脑血管痉挛及脑梗塞有一定的作用。
Early surgical treatment of 45 cases of ruptured cerebral aneurysm, including 15 cases of internal carotid aneurysm, anterior communicating artery aneurysm in 18 cases, 1 case of anterior cerebral aneurysm, 11 cases of cerebral aneurysm. Within 3 days after rupture, 31 cases were operated on and the others were operated on 4 to 6 days. Postoperative death in 6 cases. The first half of the Willis ring ruptured cerebral aneurysm, if no obvious vasospasm, can be carried out within 6 days of early surgical treatment. In addition to clipping the tumor pedicle, to prevent the risk of rebleeding, the following measures: intraoperative removal of clot in the cerebral pool, the use of papaverine solution flushing the cerebral pool, intravenous insulin and bone decompression, etc. for the prevention of cerebral vasospasm and brain Infarction has a certain effect.