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有关老年患者颅内动脉瘤手术的报告甚少,手术操作的特点亦未详细描述过.作者报告9例70~86岁老年动脉瘤的手术患者,其中女8例,男1例,平均74岁.动脉瘤分别位于前交通动脉(1例)、颈内动脉(3例)、大脑中动脉(3例)和大脑前动脉(1例).所有病人都有一次蛛网膜下腔出血的病史.出血至手术时间平均18天.手术适应症与一般年龄组相同,但昏迷和症状恶化者不手术.随访时间6
There are few reports on the surgical treatment of intracranial aneurysms in elderly patients and the characteristics of the operation are not described in detail.The authors report 9 cases of 70-86-year-old elderly patients with aneurysm surgery, including 8 males and 1 male with an average of 74 years (1 case), internal carotid artery (3 cases), middle cerebral artery (3 cases) and anterior cerebral artery (1 case), respectively. All patients had a history of subarachnoid hemorrhage. Bleeding to surgery an average of 18 days.The indications for surgery and the general age group the same, but the coma and symptoms worsen those who do not operate.Follow-up time 6