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颅内动脉瘤是引起SAH的常见病因。颅内动脉瘤直接手术是治疗颅內动脉瘤最有效的方法。本文仅就我科自1977年至1989年10月施行的55例动脉瘤直接手术的初步体会报告如下: 临床资料一般资料:男21例,女34例。年龄27~63岁;27~30岁4例,31~40岁18例,41~56岁16例,51~60岁15例,60岁以上2例。有SAH史者46例,其中一次出血26例,2次出血13例,3次6例,4次1例。根据Hunt等 (1977) 的动脉瘤破裂后病情分级法,本组中0级9人,Ⅰ级2人,Ⅱ级30人,Ⅲ级14人。
Intracranial aneurysm is a common cause of SAH. Intracranial aneurysm direct surgery is the most effective method of treatment of intracranial aneurysms. This article only on my department from 1977 to October 1989 implementation of 55 cases of aneurysm direct surgery report of the initial experience are as follows: General information on clinical data: 21 males and 34 females. The patients were 27 to 63 years old, 27 to 30 years old, 4 cases 31 to 40 years old, 16 cases 41 to 56 years old, 15 cases 51 to 60 years old and 2 cases over 60 years old. There are 46 cases of history of SAH, including 26 cases of bleeding, 2 cases of bleeding in 13 cases, 3 times in 6 cases, 4 times in 1 case. According to Hunt et al. (1977), the grade of the aneurysm ruptured after grading, the group of 0 0, 2, Ⅰ, Ⅱ 30, Ⅲ 14.