Aneurysm of the levels of Fisher in patients with subarachnoid hematocele and the influence degree of cerebral vasospasm
10.3760/cma.j.issn.1008-6706.2016.11.034
- VernacularTitle:动脉瘤夹闭术对不同Fisher分级患者蛛网膜下腔积血量及脑血管痉挛程度的影响
- Author:
Zhiyuan ZHAO
- Publication Type:Journal Article
- Keywords:
Aneurysm clipping;
Subarachnoid hemorrhage;
Fisher classification;
Cerebral vasospasm
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(11):1733-1736
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate closure of different Fisher grade patients with subarachnoid product volume and the degree of cerebral vasospasm aneurysm clipping.Methods Patients with subarachnoid hemorrhage (SAH) were selected from January 2014 to January 2015,including 20 patients with grade Ⅰ,25 patients with grade Ⅱ,and 15 patients with grade Ⅲ.They were divided into 20 patients with aneurysmal SAH(A group),18 patients without aneurysmal SAH (B group) and C group(22 cases).The operation effect was compared.Results C group as the standard,CT preoperative diagnosis had no statistically significant difference among A,B,C group (x2 =0.12,P ＞0.05).After treatment,the cerebral spasticity scores of A,B group were significantly decreased,and the level-Ⅰ and Ⅱ patients decreased more significantly compared with stage Ⅲ patients,the difference between the two groups was statistically significant(x2 =7.05,P ＜ 0.05).In group C,the blood flow velocity at the 7th and 13rd day significantly increased (x2 =7.05,P ＜ 0.05),and velocity of blood flow in group A and B Ⅰ and Ⅱ patients was significantly higher than that of grade Ⅲ patients (t =8.75,P ＜ 0.05).Conclusion For the patients with Fisher grade Ⅰ and Ⅱ,the increase in the volume of subarachnoid hemorrhage,cerebral vasospasm,and the effect of the patients with Ⅲ were more obvious.
