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显微手术治疗颅内动脉瘤破裂后脑血管痉挛发生的影响因素 被引量:2

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摘要 目的分析显微手术治疗颅内动脉瘤破裂后脑血管痉挛发生的影响因素。方法 100例行显微手术治疗的颅内动脉瘤破裂患者,对其临床资料进行回顾性分析,对影响脑血管痉挛发生的因素进行分析。结果吸烟、年龄≤50岁、出血次数≥2次的脑血管痉挛发生率显著增加,差异有统计学意义(P〈0.05);术前Fisher分级≥Ⅲ级、Hunt-Hess分级≥Ⅲ级患者的脑血管痉挛发生率显著高于Ⅰ~Ⅱ级患者,差异有统计学意义(P〈0.05)。影响患者术后血管痉挛发生的影响因素包括吸烟、年龄≤50岁、术前Hunt-Hess分级≥Ⅲ级、Fisher分级≥Ⅲ级以及出血≥2次。结论影响显微手术治疗颅内动脉瘤破裂后脑血管痉挛发生的因素包括吸烟、年龄≤50岁、出血次数≥2次、术前Hunt-Hess分级≥Ⅲ级、Fisher分级≥Ⅲ级。
作者 程宇宏
出处 《中国实用医药》 2016年第12期85-86,共2页 China Practical Medicine
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