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| veoexrmpzt |
 Wysłany: Pon 13:54, 14 Mar 2011 Temat postu: puma tlr vwx vxmq pwx |
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A2 segment of anterior cerebral artery microsurgical treatment of aneurysms (14 cases)
Wing Point Way by people with full anatomical brain pool , the release of cerebrospinal fluid , removal of part of the straight back track along the A1 to A2, A2 aneurysm clipped simultaneously , or combined anterior circulation aneurysms, can avoid the narrow interhemispheric space approach Shortcomings, and it is beneficial for wear artery reservations. The choice of the surgical side ,tory burch shoes, according to habit and aneurysm surgeon toward the top , a reasonable choice 【 . Select the group of people way before the slit 10 cases ( 2 cases left , right n =  , wing point of the footpath in 2 cases ( 1 with both clipping the left middle cerebral artery aneurysm ), no intraoperative rupture of aneurysm No death , results were satisfactory. ③ surgical skills : A longitudinal approach , the first sinus return for a small branch bridging veins . If you block the surgical field . Electrocoagulation in the cortex after the cut side : When you need care when their bulky . Can be dissected along its direction of separation of cortex to increase the exposure space, while reducing venous infarction, or recurrent bleeding t4]. Slender anterior cerebral artery , should use the appropriate length of aneurysm clips, not too long, we often choose Mini folder,mbt shoes utlet, * 121 * small straight or a little curved clip ,puma, clip to reduce the tumor blood vessels long false aneurysm caused by folder. In addition, when due to reset over the brain aneurysm clip , causing artery distortion,tory burch, ischemia. Therefore, intraoperative aneurysm clip in a small amount of gelatin sponge packing around the appropriate support to minimize the rotation of aneurysm clip . Poor exposure of the aneurysm neck , incomplete or incorrect clipping folder suspected peripheral artery branch arteries can be supplemented by small endoscopic observation. ④ After treatment: ischemic injury anterior cerebral artery aneurysms are the most common complication after surgery ,mulberry bags, the mortality reported in the literature about 5% ~ 50% t5]. When this group of patients in the conventional craniotomy mannitol dehydration, brain surgery to reduce traction and vascular stimulation : aneurysm after the plot as possible clear the brain pool of blood , after repeated washing with warm saline irrigation brainwashing papaverine Pool ; after conventional treatment of calcium antagonist and 3H . 1 case in this group see the aneurysm neck width and the line part of parent artery occlusion . Postoperative side paraparesis ; the remaining patients were successfully clipped aneurysm neck . Postoperative recovery was good. |
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