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回顾性分析2例大脑前动脉远端逆流供血动脉瘤病人的临床资料。1例病人第1次动脉瘤破裂,表现为蛛网膜下腔出血,A2段被栓塞,第2次破裂形成颅内血肿,手术清除血肿,术后植物生存。第2例病人经动脉瘤夹闭成功治愈。大脑前动脉远端逆流供血动脉瘤比较少见,其诊断和治疗需要特别注意,由于其特殊的动脉瘤形态及血流动力学特点,不能按传统方法夹闭动脉瘤,合适的治疗应为动脉瘤孤立术。
The clinical data of 2 patients with distal anterior cerebral artery aneurysm of reflux were retrospectively analyzed. One patient had the rupture of the first aneurysm, which showed subarachnoid hemorrhage, A2 was embolized, the second ruptured into an intracranial hematoma, and the hematoma was removed by surgery. The survival of the postoperative plant was observed. The second case of patients with aneurysm clipping successfully cured. Because of its special morphology and hemodynamic characteristics of an aneurysm, aneurysms can not be clamped by conventional methods. The appropriate treatment should be aneurysm Isolated surgery.