干旱区生态环境知识资源中心(Arid): 全麻下GDC栓塞动脉瘤术中破裂的诊断及防治

Arid

	全麻下GDC栓塞动脉瘤术中破裂的诊断及防治
其他题名	The Diagnosis, Prevention and Cure of the Rupture of Intracranial Aneurysms During Embolization with Guglielmi Detachable Coils(GDC)Under General Anesthesia
	金锋 1; 常志田 1; 王潼 1; 凌锋 2; 张鹏2 ; 宋庆斌 2; 支兴龙 2
来源期刊	实用放射学杂志
ISSN	1002-1671
出版年	2004
卷号	20 期号:4 页码:354-357
中文摘要	目的研究在全麻下颅内动脉瘤GDC栓塞术中破裂的诊断特点,提出防治对策.方法分析5例患者颅内动脉瘤栓塞术中破裂的影像变化、体征及处理.结果 3例患者在破裂时见血压突然上升,心率减慢,脑循环时间延长.其中1例见造影剂外漏.立即中和肝素,继续用GDC填塞至动脉瘤不再显影.2例术后行脑室穿刺引流.1例恢复良好,1例死亡.另1例行血肿清除术,术后重度残疾.其余2例由于临床没有变化,无特殊处理,术后患者恢复良好.结论 GDC栓塞颅内动脉瘤术中要严密观察影像学和患者的变化,及时发现动脉瘤破裂,并正确处理.
英文摘要	Objective To investigate the diagnostic characteristics of the ruplure of intracranial aneurysms during embolization with Guglielmi detachable colis( GDC) under general anesthesia,and to introduce preventive and therapeutic methods. Methods DSA findings palient’ s signs and treatment of 5 cases with ruplure of intracranial aneurysms during the aneurysms embolization operation were analyzed. Results The ruplure of aneurysms were happened during operation in 5 cases, three of them presented blood pressure suddenly rose, heart rale slowed down and the celebral circulation prolonged at the time of rupture. The contrast media leaked out in one of these 3 cases, then the heparinization was immediately reversed with protamine sulfale,using GDC to fill the aneurysm up till it didn’ t develop again. After ihe operation,the puncture and drainage of ventricles were performed in 2 cases,of these 2 cases,one case completely recovered, the other case died. Hematoma was removed in another one case who became severely disabled after that. The other 2 oases,had no any clinical symptoms. Conclusion During the embolization of intracranial aneurysms with GDC, the operators should pay attention to the changes of DSA and the patients. When the rupture of aneurysm happen during embolization, the patients should be properly treated.
中文关键词	脑 ; 动脉瘤 ; 介入放射学
英文关键词	brain aneurysras interventional radiology
语种	中文
国家	中国
收录类别	CSCD
WOS类目	MEDICINE GENERAL INTERNAL ; ONCOLOGY
WOS研究方向	General & Internal Medicine ; Oncology
CSCD记录号	CSCD:1591807
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/205419
作者单位	1.吉林省四平市中心医院神经外科, 四平, 吉林 136000, 中国; 2.北京市宣武医院神经外科
推荐引用方式 GB/T 7714	金锋,常志田,王潼,等. 全麻下GDC栓塞动脉瘤术中破裂的诊断及防治[J],2004,20(4):354-357.
APA	金锋.,常志田.,王潼.,凌锋.,张鹏.,...&支兴龙.(2004).全麻下GDC栓塞动脉瘤术中破裂的诊断及防治.实用放射学杂志,20(4),354-357.
MLA	金锋,et al."全麻下GDC栓塞动脉瘤术中破裂的诊断及防治".实用放射学杂志 20.4(2004):354-357.