枕下后正中入路行小脑后下动脉多发动脉瘤夹闭一例

来源 :临床外科杂志 | 被引量 : 0次 | 上传用户：gny637259

【摘要】

：

病人,女,58岁.突发头晕、头颈部疼痛伴恶心呕吐6小时入院.既往高血压病史8 年余,脑梗死病史2 年余.体格检查:双瞳等大同圆,光反射灵敏,伸舌居中,颈强,四肢活动自如,肌力及肌

【作者】

：

胡永珍李敬文徐忠烨张立阳温一奇龙青山李雪松

【机构】

：

广州医科大学附属惠州医院(惠州市第三人民医院)神经外科, 广东惠州,516002;齐齐哈尔市第一医院神经外科

【出处】

：

临床外科杂志

【发表日期】

：

2020年2期

【关键词】

：

多发动脉瘤枕下后正中入路

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病人,女,58岁.突发头晕、头颈部疼痛伴恶心呕吐6小时入院.既往高血压病史8 年余,脑梗死病史2 年余.体格检查:双瞳等大同圆,光反射灵敏,伸舌居中,颈强,四肢活动自如,肌力及肌张力正常,GCS 15(E4V5M6).头颅CT检查显示出血主要集中于枕骨大孔区,合并第四脑室及小脑蚓部出血(图 1 a, 1 b).

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枕下后正中入路行小脑后下动脉多发动脉瘤夹闭一例

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