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脑动脉瘤破裂伴灶性积血的临床意义 被引量:16

Clinical significance of local blood accumulation on CT in ruptured cerebral aneurysms
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摘要 报告98例经CT确诊的灶性积血,均为数字减影脑血管造影和手术证实为动脉瘤破裂。其中后交通动脉瘤46例,前交通动脉瘤31例,大脑中动脉瘤12例,其他部位动脉瘤9例。积血主要在基底池、纵裂前上方和侧裂内。认为,CT示灶性积血是动脉瘤破裂的重要依据,并可判断动脉瘤破裂的位置,同时根据积血部位、积血量、临床和其他CT表面预测是否有血管痉挛。 Abstract cases of intracranial ruptured aneurysm were reported. All the aneurysms were confirmed by both DSA and operation. These aneurysms consisted of 46 cases arising from PCoA 31 cases from ACoA, 12 cases from MCA and 9 cases from other arteries.Besides SAH, local accumulation of blood was also observed on CT scan. These were mainly in basal cistern, cerebral longitudinal fissure and Sylvian fissure. The authors consideved that local blood accumulation is an important iagnostic basis for a ruptured ancurysm and helpful for its localization. Combining clinical manifestation and all the changes on CT scan.vasospasm can also be estimated.
作者 只达石
出处 《中华神经外科杂志》 CSCD 北大核心 1995年第1期6-8,共3页 Chinese Journal of Neurosurgery
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参考文献3

  • 1沈建康,刘承基,谭启富,邬祖良,孙克华,史继新.前交通动脉瘤的诊断和治疗[J].中华神经外科杂志,1993,9(1):10-11. 被引量:7
  • 2王忠诚,中华神经外科杂志,1993年,93期,1页
  • 3沈建康,中华神经外科杂志,1990年,6期,184页

二级参考文献2

  • 1沈建康,中华神经外科杂志,1990年,6卷,184页
  • 2刘承基,脑血管病的外科治疗,1987年

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