机构：[1]Depertment of Neumsurgery, Xuanwu Hospatal, Capita] University of Medical Science, Beijing 100053, China首都医科大学宣武医院[2]Department of Neucoradiology, Xuanwu Hospatal, Capita] University of Medical Science, Beijing 100053, China放射科首都医科大学宣武医院[3]Department of Ul-tmonogapkhy ,Xuanwu Hospatal, Capita] University of Medical Science, Beijing 100053, China首都医科大学宣武医院
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摘要：
OBJECTIVE: To summarize the experience in surgical treatment of patients with intracranial aneurysms. METHODS: The measures used in the treatment of 500 patients with intracranial aneurysms were retrospectively reviewed with regard to timing of surgery, induced-hypotensive anesthesia, brain protection combined with temporal occlusion of the feeding artery, dynamically monitoring of transcranial Doppler ultrasound, antivasospasm treatment, techniques of direct surgery, and endovascular embolization. RESULTS: In 465 patients undergoing surgery, intraoperative rupture was observed in 27(6.2%), postoperative death in 13 (2.7%), hemipalsy in 8(2.2%), and vegetative state in 2 (5.0%). The operative mortality was 3.8% in 210 patients before 1990, while 1.9% in 255 patients after 1990. CONCLUSION: The outcome of patients with intracranial aneurysms can be markedly improved by comprehensive measures.
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外文
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第一作者：
第一作者机构：[1]Depertment of Neumsurgery, Xuanwu Hospatal, Capita] University of Medical Science, Beijing 100053, China[*]Brain Center, Neunurgery, Haidian Hospital, Zhongguancun, Haidian District, Beijing 100080,
通讯机构：[*]Brain Center, Neunurgery, Haidian Hospital, Zhongguancun, Haidian District, Beijing 100080,
推荐引用方式(GB/T 7714)：
DINGYuji,LI Shenmao,DUAN Anan,et al.Intracranial aneurysms: experience in treating 500 patients.[J].Zhonghua wai ke za zhi [Chinese journal of surgery].2001,39(9):657-60.
APA：
DINGYuji,LI Shenmao,DUAN Anan,HUA Yang,CAO Jiakans...&LIU Jiang.(2001).Intracranial aneurysms: experience in treating 500 patients..Zhonghua wai ke za zhi [Chinese journal of surgery],39,(9)
MLA：
DINGYuji,et al."Intracranial aneurysms: experience in treating 500 patients.".Zhonghua wai ke za zhi [Chinese journal of surgery] 39..9(2001):657-60
