뇌동맥류의 수술중 파열
Intraoperative Rupture of the Intracranial Arterial Aneurysm
소속 상세정보
황성남
박관/김영백/민병국/석종식/최덕영
KMID : 0359819930220060749
Abstract
Intraoperative aneurysmal rupture can be defined as aneurysmal rupture that taks place during any procedure from the induction of anesthesia to th eclosing of the wound and may result in a disastrous surgical outcome if not managed properly.
The author experienced 11 cases of intraoperative aneurysmal rupture among 134 cases of aneurysm surgeries over the past 7 years at Yong-San hospital. The intraoperative rupture rate was 8% and there was statistically significant higher incidence
of
rupture in the early operated group. Rupture occured during dissection in 5 cases and during the clipping procedure in 6. The early and late mortality was 27%, which included one case that could also be attributed to the direct effect of
subarachnoid
hemorrhage.
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