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中国人民解放*第三〇九医院神经外科
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阿哈提朗读(第三部分)动脉瘤手术基本功--SevenAneurysms系列第八期
■BrainRelaxation--脑松弛
Aswollenbrainwithanintraparenchymalclotfromarupturedaneurysmisdifficulttodissect.Braintransgressionmayhelpaccessthehematomaandrelieveintracranialpressure.Hematomaevacuationbeforesecuringananeurysmisadangerousmove,butsometimesisnecessarytofacilitatethesubarachnoiddissection.Domeprojectioniscarefullyconsidered,andclotnearthedomeisleftalone.Clotawayfromthedomeisslowlyandgentlyremoveduntilthebrainslackens.Additionalclotevacuationcanwaituntilaftertheaneurysmisclipped.Thedomeconnectswiththisremainingclot,andevacuationiseasilyac