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腦動靜脈畸形栓塞術后顱內出血的高危因素分析

發(fā)布時間:2018-11-25 07:15
【摘要】:目的探討腦動靜脈畸形栓塞術后顱內出血的高危因素。方法選取2014年2月至2016年2月收治的行腦動靜脈畸形栓塞術治療的腦動靜脈畸形患者215例的臨床資料進行回顧性分析,觀察患者術后3d顱內出血情況,并分析術后顱內出血相關危險因素。結果所有患者治療后畸形血管團面積小于治療前,差異顯著(P0.05);215例患者共13例出現(xiàn)顱內出血,占6.05%(13/215);患者腦動靜脈畸形栓塞術后發(fā)生顱內出血的高危因素為具有既往高血壓史和單次栓塞面積≥36.5%(P0.05)。結論誘發(fā)腦動靜脈畸形栓塞術后顱內出血的高危因素為既往高血壓史和單次栓塞面積較高,臨床應引起高度重視,密切觀察患者血管栓塞情況,及時采取有效措施以降低顱內出血發(fā)生。
[Abstract]:Objective to investigate the high risk factors of intracranial hemorrhage after cerebral arteriovenous malformation embolization. Methods the clinical data of 215 patients with cerebral arteriovenous malformation treated by embolization from February 2014 to February 2016 were retrospectively analyzed, and the intracranial hemorrhage was observed 3 days after operation. The risk factors of postoperative intracranial hemorrhage were analyzed. Results the area of malformed blood vessels in all the patients was smaller than that before treatment (P0.05), 13 cases (6.05%) had intracranial hemorrhage (13 / 215), and 13 cases (6.05%) had intracranial hemorrhage in 215 cases (13 / 215). The high risk factors of intracranial hemorrhage after cerebral arteriovenous malformation embolization were hypertension history and single embolization area 鈮,

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