METHOD FOR PREVENTION OF CEREBRAL VASCULAR CRAMP IN CASE OF NONTRAUMATIC SUBARACHNOIDAL HEMORRHAGES DUE TO ANEURISM RUPTURE IN BRAIN VESSELS

摘要

FIELD: medicine.;SUBSTANCE: prior to aneurysm clipping, a lumbar drainage is installed, and after clipping, arachnoid dissection is performed and blood clots are removed. The following cisterns are opened: lateral cleft, ipsilateral carotid, chiasmatic, interpeduncular, contralateral carotid and terminal plate cisterns. Then, the terminal plate of the third ventricle is opened, cistern drainage is installed, lumbar drainage is opened, the liquor is withdrawn and the physiological solution is simultaneously introduced into the cistern drainage. Then the lumbar drainage is blocked and Forteplaze is injected into the cistern drainage. The surgical wound is sutured, the spinal fluid is sanitized. 6 hours after the intraoperative administration of Fortepaze, CT scannig of brain is performed and, in the absence of disturbances, Fortepaze is injected once again through the cistern drainage port.;EFFECT: reduction of postoperative complications.;5 cl, 4 dwg