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目的:探讨脑动静脉畸形(CAVM)并发破裂出血的急诊手术方法及治疗效果,从而提高CAVM破裂出血的治愈率,降低致残率及死亡率。方法:临床资料为2008年6月～2012年6月在我院诊治的31例CAVM并发破裂出血行急诊手术的患者,采用回顾性分析的方法对其临床表现、手术方法及术后3个月的日常活动能力(ADL)进行分析。结果:31例患者术后3个月情况,生存28例,其中20例恢复良好,8例存在明显神经功能损伤;死亡3例。结论:脑血管破裂出血是CAVM严重的并发症之一,治疗关键在于早期明确诊断,选择正确的治疗方法及治疗时机,其中急诊手术是CAVM破裂出血首选的治疗方法,能够明显提高CAVM破裂出血的治愈率,降低致残率及死亡率。
Objective: To investigate the emergency operation and treatment of cerebral arteriovenous malformation (CAVM) complicated with rupture of hemorrhage so as to improve the cure rate of CAVM rupture and reduce the morbidity and mortality. Methods: The clinical data of 31 patients with CAVM complicated with rupture of haemorrhage who were treated in our hospital from June 2008 to June 2012 were retrospectively analyzed. The clinical manifestations, surgical methods and 3 months after operation Daily activity ability (ADL) analysis. Results: There were 28 patients survived in 3 months after operation in 31 patients, of which 20 recovered well, 8 had obvious neurological damage and 3 died. Conclusions: Cerebrovascular rupture is one of the serious complications of CAVM. The key to the treatment is early diagnosis, proper treatment and treatment timing. Emergency surgery is the preferred treatment for CAVM rupture and bleeding, which can significantly improve the rate of CAVM rupture and hemorrhage Cure rate, reduce morbidity and mortality.