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本文报告颈动脉瘤6例(真性5例,假性1例)。发病与感染、外伤、动脉硬化等因素有关。有发病三个月即出现危险症状者,也有发病六年尚无自觉不适者。6例处治结果表明,为保证手术安全及预后良好,主要是要根据病情正确掌握手术时机及手术方法。对于危急患者要及时抢救,一般病情要等到脑循环建立良好的代偿之后方宜施行手术,否则不宜手术探查。病情轻者可暂不作手术。低温麻醉可保证难度大的手术顺利进行。而局麻则便于观察手术反应,以防不良预后,难度不大的手术可行。
This article reports 6 cases of carotid aneurysm (5 cases of true, 1 case of false). Incidence and infection, trauma, arteriosclerosis and other factors. There are three months of onset of symptoms that are dangerous, but also the onset of six years without any conscious discomfort. Six cases of treatment results show that, in order to ensure the safety and prognosis of surgery is good, mainly based on the condition to correctly grasp the timing of surgery and surgical methods. For emergency patients to be rescued in time, the general condition to wait until the brain circulation to establish a good after compensation should be performed surgery, or should not surgical exploration. Slight condition can temporarily without surgery. Low-temperature anesthesia can ensure the smooth operation of the difficult. The local anesthesia is easy to observe the surgical response, to prevent adverse prognosis, difficulty is not feasible surgery.