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对8例经尸检证实为脑前交通动脉动脉瘤破裂的病理与临床资料进行了回顾性研究。结果提示前交通动脉瘤破裂产生大脑前间裂及基底池为著的蛛网膜下腔血肿,常同时发生穿通型脑室出血及脑内血肿。当蛛网膜下腔出血后CT片中发现终板前有血肿,或血液破入透明中隔或第三脑室时,对前交通动脉瘤破裂有诊断价值,血液穿破第三脑室时病情多危重。文中对前交通动脉瘤破裂后血液穿入脑室的三种途径进行了讨论。
The pathological and clinical data of eight cases of anterior communicating artery aneurysm ruptured confirmed by autopsy were retrospectively studied. The results suggest that traffic artery aneurysm rupture before the anterior cerebral fissure and basal cistern of the subarachnoid hematoma, often simultaneously with type ventricular hemorrhage and intracerebral hematoma. When subarachnoid hemorrhage after CT film found in the hematoma before the end plate, or blood into the transparent septum or the third ventricle, the rupture of the anterior communicating artery aneurysm diagnosis, blood perfusion when the third ventricle and more critically ill. The paper discusses three ways of blood penetrating the ventricle after rupture of anterior communicating artery.