Abstract：
:Temporary arterial occlusion during intracranial aneurysm surgery is a safe and effective modality. It is not only an emergency measure for controlling aneurysmal bleeding, but also a helpful means for accurate and meticulous dissection and clipping of an intracranial aneurysm with the advantage of minimizing the chance of its premature rupture or causing damage to the vital neurovascular structures. This technique is especially useful for treating large or giant aneurysms, carotid-ophthalmic arterial aneurysms, or thin-walled and complicated aneurysms tightly adherent to their surrounding tissues. A series of 52 patients with temporary clipping of the involved arteries during intracranial aneurysm surgery were reviewed retrospectively, which represented 37.1% of all aneurysms operated on in Huashan Hospital, Shanghai Medical University during the same period (from 1980 to 1990). Of them, one died (1.9%), 10(19.2%) had immediate or early neurological deficits which were mostly resolved later. A follow-up study with an average time of 3.8 years showed that 98% of patients had an excellent and good recovery without significant deficits. Comparing these results with those in 88 patients with aneurysms operated on over the same period in which temporary clips were not used, there is clearly no significant difference. The use of brain protectors, barbiturates, hypothermia and some monitoring systems can increase the safe coefficient to the brain and reduce the occurrence of ischemic complications during the application of temporary arterial occlusion. However, there is so far neither an absolute reliable medication or monitor, nor a well accepted safe time-limits to vascular occlusion.(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
Chin Med J (Engl)journal_title
Chinese medical journalauthors
Zhou LF,Li SQ,Yang MLsubject
Has Abstractpub_date
1993-11-01 00:00:00pages
803-8issue
11eissn
0366-6999issn
2542-5641journal_volume
106pub_type
杂志文章abstract：BACKGROUND:The most important objective of transplant studies in the injured spinal cord has been to provide a favorable environment for axonal growth. Moreover, the continuing discovery of new grafts is providing new potentially interesting transplant candidates. Our purpose was to observe the morphological and functi...
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abstract：Background:Patients with major depressive disorder (MDD) usually have high risk of suicidality. Few studies have investigated the effects of stressful life events (SLEs) on the risk of suicide in Chinese patients who have developed MDD. This study aimed to investigate the impact of SLEs on suicidal risk in Chinese pati...
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journal_title：Chinese medical journal
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更新日期：2004-10-01 00:00:00
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更新日期：2011-08-01 00:00:00
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pub_type： 杂志文章
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更新日期：2005-02-20 00:00:00
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doi：
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doi：
更新日期：1995-04-01 00:00:00
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journal_title：Chinese medical journal
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doi：
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更新日期：2013-10-01 00:00:00
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doi：
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doi：
更新日期：1995-06-01 00:00:00
