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目的:为探讨一组以急性脑内血肿发病的颅内动静脉畸形的诊断、治疗及预后。方法:回顾分析了发生急性脑内血肿的9例脑血管畸形患者,行手术治疗。并由手术和病理检查证实AVM。结果:所有9名患者,有2人预后良好,1人差及6个术后1周至1月内死亡。术中发生脑肿胀的4名患者术后皆死亡。结论:以急性脑内血肿发病的脑AVM患者,术前状态较差,经积极手术治疗,仍有少部分患者可能获得救治。
Objective: To investigate the diagnosis, treatment and prognosis of a group of intracranial arteriovenous malformations with acute intracerebral hematoma. Methods: A retrospective analysis of 9 patients with acute intracerebral hematoma cerebral vascular malformations, surgical treatment. AVM was confirmed by surgery and pathology. RESULTS: Two of the nine patients had a good prognosis, one poor and 6 deaths within 1 week to 1 month after surgery. Four patients with intraoperative brain swelling died after surgery. Conclusion: The brain AVM patients with acute intracerebral hemorrhage have poor preoperative status. A small number of patients may still be treated after active surgery.