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目的 探讨动脉瘤术中破裂的对应措施。方法 在控制性低血压下按动脉瘤的解剖特点游离动脉瘤。一旦破裂出血 ,可临时夹闭载瘤动脉 ,或在破裂口处压以涂上医用生物胶的一小块明胶海绵封闭破裂口 ,出血控制后稳妥地夹闭瘤颈。结果 73例中 6 8例行动脉瘤颈夹闭术。其余 5例 ,分别行囊壁切除动脉修补术、瘤体切除术及颈内动脉血管重建术。治愈率为 93.2 % ,病死率 6 .8%。结论 按动脉瘤的解剖特点游离动脉瘤是控制动脉瘤术中破裂出血的前提 ;有预见性地采用控制性低血压和暂时阻断载瘤动脉或用涂以医用生物胶的小块明胶海绵封闭破裂口是术中控制动脉瘤破裂出血的重要应急措施。
Objective To investigate the corresponding measures of rupture during aneurysm surgery. Methods Anatomical characteristics of aneurysms were dissected under controlled hypotension. Once the rupture of bleeding, can be temporarily occlusion of the parent artery, or pressure in the rupture of the mouth with a small piece of gelatin coated with bio-plastic gelatin sponge closure rupture mouth, the bleeding control and securely nip the neck. Results 73 cases of 68 cases of aneurysm neck clip surgery. The remaining 5 cases were undergone balloon wall resection arterial repair, tumor resection and internal carotid artery reconstruction. The cure rate was 93.2% and the case fatality rate was 6.8%. Conclusion Anatomical features of aneurysm free aneurysm is to control intraoperative aneurysm rupture bleeding premise; predictive use of controlled hypotension and temporary blocking of the parent artery or coated with a small piece of gelatin coated with gelatin sponge Rupture is an important emergency measure to control intraoperative rupture of aneurysm.