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一、对象与方法作者自1989年6月至1990年6月收治脑动脉瘤破裂病人40例,对其中符合下列条件的18例进行分析。1.选择对象的条件①能够进行 TCD 检查者;②发病后3日内脑血管造影发现脑血管痉挛者;③除外以下情况者:既往有脑血管病史、伴有较大脑内血肿、伴有脑动脉闭塞、伴有明显的颅内压升高。2.脑血管痉挛在脑血管造影上的分型(1)近侧型从颅内颈内动脉段到大脑中动脉 M
First, the object and method Author from June 1989 to June 1990 were treated 40 cases of ruptured cerebral aneurysm patients, in which the following conditions were analyzed in 18 cases. 1. Selection criteria ① TCD examination can be carried out; ② 3 days after onset of cerebrovascular angiography found that cerebral vasospasm; ③ Except for the following cases: Previous history of cerebrovascular disease, associated with larger intracerebral hematoma, associated with cerebral artery Occlusion, accompanied by significant increase in intracranial pressure. 2. Cerebral vasospasm in cerebral angiography on the type (1) the proximal type from the intracranial internal carotid artery to the middle cerebral artery M