The results of the surgery in the acute period of anterior circulation arterial aneurysms ruptures at the patients with arterial hypertension
Keywords:
arterial aneurysm rupture, anterior arterial circle of the cerebrum, arterial hypertension, surgeryAbstract
250 patients operate by a microsurgical method in the acute period of anterior circulation arterial aneurysms rupture are surveyed; the arterial hypertension up to a rupture of an aneurysm was observed at 79 (31,6%) patients. The multiple aneurysms in 1,5 times more often were observed at the patients with an arterial hypertension. The reruptures of aneurysms are marked at 20 patients, among which there were 19 patients with an arterial hypertension. Intraoperative ruptures of aneurysms has appeared the cause of mors at 69,4% died and was observed at 31,6% patients with an arterial hypertension and at 21,1% patients without it. The recovery has occured at 44,3% of the patients with an arterial hypertension and at 59,6% without it, moderate disabled accordingly — at 26,6% and 24%, severe disabled — in 6,3% and 5,3%, lethal outcomes — at 21,5% and 11,1%.
Conclusions: the presence arterial hypertension up to a rupture of an aneurysm essentially worsens gravity of a condition of the patients in the acute period of subarachnoidal hemorrhages and results of their treatment; the deterioration of results of treatment at the patients with an arterial hypertension is directly connected to the greater frequency of repeated
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Copyright (c) 2001 Anatoliy Son, Аleksandr Khrushch, Vasiliy Gumenyuk, Аleksandr Petelkaki
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