저혈압 마취하에 시행한 뇌동맥류의 외과적 치료
On the Surgical Treatment of Ruptured Intracranial Aneurysms with Deliberate Hypotensive Anesthesia
한윤선, 이현철, 김수휴, 한용표, 최일생,
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한윤선 ( )
연세대학교 의과대학 신경외과학교실
이현철 ( )
연세대학교 의과대학 마취과학교실
김수휴 ( )
연세대학교 의과대학 신경외과학교실
한용표 ( )
연세대학교 의과대학 신경외과학교실
최일생 ( )
연세대학교 의과대학 신경외과학교실
KMID : 0359819730020010009
Abstract
13 cases of intracranial Aneurysm- were obliterated intracranially with Heifetz clip under Halothane /02 Deliberate Hypotensive anesthesia.
Deliberate hypotension in the surgery of intracranial aneurysm is used to diminish bleeding and render an aneurysmal sac slack to make clipping easy.
Herein is presented a review of clinical experience of deliberate hypotension in conjunction with postural drainage. Clinical investigation has shown that this method offers a wider margin of safety.
All factors stressed again the needs for careful, adequate and ideal clippage of the neck of aneurysm´ preferably with the use of Heifetz clip. Deliberate hypotension and adequate clippage of ´the neck of aneurysm subsequently allowed a favorable clinical result with an operative mortality by 7.7%.
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