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《Beijing Medical Journal》 2005-08
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Emergent operation on intracranial arteriovenous malformation with intracerebral hemorrhage

Zhang Yan, Zhao Jizong, Wang Shuo, et al(Department of Neurosurgery, Tiantan Hospital, Beijing 100050)  
Objective To analyze the clinical effect of emergent operation on intracranial arteriovenous malformation with intracerebral hemorrhage. Methods From April 1982 to August 2004, 96 patients with intracranial arteriovenous malformation and intracranial hematoma were underwent emergent surgery. 60 cases (62.5%) presented coma and tentorial herniation before operation. The hematoma and malformation were totally removed in 58 cases (60.4%), The malformation were subtotally removed in 12 cases (12.5%), only the hematoma were evacuated in 25 cases (26.0%). The abnormal vessles were clipped in 1 case. Results 14 patients died after operation, The mortality rate was 14.6%. The morbidity of postoperative complication was 27.1%. Conclusions The emergent operation on intracranial arteriovenous malformation with hematoma even in comatose patients with tentorial herniation is useful and possibly reduc the total mortality.
【CateGory Index】: R651
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【References】
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【Co-references】
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1 Meng Guolu, Yu Qingsheng, Fan Ming, et al (Department of Neurosurgery, Beijing Tiantan Hospital, Beijing 100050);Study of the expression of integrin αV in cerebral cavernous hemangioma and arteriovenous malformation[J];Beijing Medical Journal;2006-07
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【Secondary References】
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1 HUO Weikang, FENG Wenfeng, QI Songtao, HUANG Lijin, QIU BinghuiDepartment of Neurosurgery,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Effect of direct microsurgical treatment of giant cerebral arteriovenous malformation[J];Chinese Journal of Neurosurgical Disease Research;2009-04
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