影响颅内动脉瘤破裂伴颅内血肿行手术治疗预后因素的分析

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3、，hematomabreakjngintomeVemlclempreoperatlVeCT'theprevioushistoDrofhypenension，thesizeoftheaneurysms，h1Sto叫。士smoking，preoperativeGCS，thesiteoftheaneu拶sms，preoperatlVeaWareness，timingofsurgeq，thevol啪eofhematomacleared，postoperatlVecerebralin觚ionwerediscussedwiththeunivariateanaly

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5、erativeGCS，preoperativeawareness，theVolumeofhematomacleared，postoperativecerebralinf打ctionwerediscussedwiththemultiVariatestepwiseanalysis．TheresultsshowthathematomabreakingintotheVen仃icleinpreoperativeCTandpreoperativeGCSaretheindependentriskf．actorsafIfectingprognosisanditiss

6、tatisticallysignificant．ConcIusion：Int11esurgicaltreatmentsofintracraJlialrupturedaneurysmsassociatedwithintracranialhematomabycraniotomy，thecasesthathematomabreakingintotheventricleinpreoperatiVeCThaVepoorprognosls，thecasesoflowerpreoperativeGCShaVepoorprognosls．Keywords：ruptu

7、redintraCranialaneu哕sm；intracranialhematoma；craniotomy；prognosis研究论文影响颅内破裂动脉瘤伴颅内血肿手术预后因素的分析．●上．-J■。刖吾脑血管病是危害人类生命健康的常见病和多发病，具有发病率高，致残率和死亡率高的特点。颅内动脉瘤是由于血管异常改变产生的脑血管瘤样突起，动脉瘤性的蛛网膜下腔出血是常见的脑血管疾病，动脉瘤破裂形成颅内血肿是蛛网膜下腔出血的极为不利的危险因素，是患者死亡的主要原因之一，其临床分级常常较高(Hunt．Hess分级Ⅳ．V级)，血肿量大的常常压迫脑组织造成脑疝，需要

8、急诊手术清除血肿，夹闭动脉瘤，术中视脑组织张力情况需要去除骨瓣，而预后往往不佳。对于未形成脑疝的，大多神经外