[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f9BDVHWw5GIAL0mL7alcku0irI-AYhA5bxHPj6KOeXoQ":8},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":45},200,"操作成功",{"id":12,"name":13,"describes":6,"symptoms":6,"checkup":6,"treatment":6,"seoTitle":14,"seoKeywords":15,"seoDescription":16,"coverVertical":6,"coverAcross":6,"introduceClassifications":17,"departments":43},4184,"颈动脉瘤"," 颈动脉瘤的症状、诊断与治疗 | 健康指南\n"," 颈动脉瘤, 颈动脉瘤症状, 颈动脉瘤诊断, 颈动脉瘤治疗, 颈动脉疾病, 动脉瘤, 血管健康, 颅内动脉瘤\n"," 了解颈动脉瘤的常见症状、诊断方法及治疗选项。本篇文章将帮助您深入认识这种严重的血管疾病，提供相关健康建议，助您及早发现和治疗，保障您的身体健康。",[18,23,28,33,38],{"id":19,"classification":20,"description":21,"sort":22,"diseaseId":12},130449,"概述","\u003Cp>　　颈动脉瘤，常见由动脉硬化、创伤、细菌感染、梅毒或先天性动脉囊性中层坏死所引起的动脉壁损害变薄，在血流压力作用下逐渐膨大扩张，形成动脉瘤。颈动脉瘤颈动脉瘤可发生在经总动脉、颈内动脉、颈外动脉及其分支。由颈动脉硬化所致者，多发生在双侧颈动脉分叉处，又创伤所致者多位于颈内动脉，经外动脉较少见。主要症状为发现颈部肿块，有明显的搏动及杂音，少数肿块因瘤腔内被分层的血栓堵塞，搏动减弱或消失。\u003C/p>",0,{"id":24,"classification":25,"description":26,"sort":27,"diseaseId":12},130450,"症状","\u003Cp>　　常见症状：颈部肿块、有明显的搏动及杂音、呼吸困难\u003C/p>\u003Cp>　　主要症状为发现颈部肿块，有明显的搏动及杂音，少数肿块因瘤腔内\u003C/p>\u003Cp>　　颈动脉瘤被分层的血栓堵塞，搏动减弱或消失。发生在颈总动脉、经内动脉的动脉可影响脑部供血，瘤体内血栓脱落可引起脑梗死，病人可出现成的脑缺血症状，如头痛、头昏、失语、耳鸣、记忆力下降、半身不遂、运动失调、视力模糊等。瘤体增大压迫神经、喉、气管、食管，可出现脑神经瘫痪、Horner征、吞咽困难、呼吸困难等。\u003C/p>",1,{"id":29,"classification":30,"description":31,"sort":32,"diseaseId":12},130451,"检查","\u003Cp>　　检查项目：DSA显影、磁共振血管显影\u003C/p>\u003Cp>　　肿块位于颈侧部，有明显搏动及收缩期杂音，压迫肿块近心端动脉时，搏动减弱或消失，即可作出诊断。但遇肿块搏动及杂音不明显者，诊断较困难。DSA检查对确定诊断具有重要意义。由于动脉瘤形成的原因不同，DSA显影也略有不同，先天性动脉瘤，瘤体一般较小，自绿豆到黄豆大小，呈囊状，有蒂与动脉干连接;动脉硬化形成的动脉瘤可见到瘤动脉纤细弯曲，动脉腔变窄或粗细不均，瘤体呈梭形;外伤性动脉瘤为囊性或多房性构成。近年来应用磁共振血管显影(MRA)诊断动脉瘤的价值日益受到重视。MRA是一种无创性检查方法，病人可免于动脉或静脉穿刺之苦，诊断动脉瘤较DSA更具优势。\u003C/p>",2,{"id":34,"classification":35,"description":36,"sort":37,"diseaseId":12},130452,"并发症","\u003Cp>　　颈动脉瘤除瘤体堵塞血管，或血栓脱落引起脑梗死，影响脑供血外，更为严重的并发症是瘤体增大破裂，引起致死性大出血，故颈动脉瘤一旦确诊，宜尽快手术。\u003C/p>",3,{"id":39,"classification":40,"description":41,"sort":42,"diseaseId":12},130453,"治疗","\u003Cp>　　颈动脉瘤除瘤体堵塞血管，或血栓脱落引起脑梗死，影响脑供血外，更为严重的并发症是瘤体增大破裂，引起致死性大出血，故颈动脉瘤一旦确诊，宜尽快手术。根据瘤体大小及部位采取不同的手术方式。①较小囊性动脉瘤：游离瘤体，于颈部放置钳子，切除瘤体，缝合。梭形动脉瘤，可切除动脉瘤及病变动脉后，作动脉端吻合，必要时用人工血管或同种动脉替换切除的动脉。②夹层动脉瘤：切除病变动脉，用人造血管重建血流通道。对于高龄、严重心血管疾病无法耐受手术者，可行介入治疗。\u003C/p>",4,[44],"肿瘤综合科",true]