蛛网膜下腔出血后迟发性脑血管痉挛42例临床分析

Clinical analysis of 42 cases with delayed cerebral vasospasm induced by subarachnoid hemorrhage

目的 探讨蛛网膜下腔出血后迟发性脑血管痉挛的发病机制、临床特点及预防措施。方法 回顾总结 42例患者的临床资料结合文献进行分析。结果 42例中治愈 2 4例 ,好转 13例 ,死亡 5例。结论 迟发性脑血管痉挛是引起致残和死亡的主要原因 ,及时清除蛛网膜下腔积血 ;保持有效的脑血流灌注 ;应用钙离子拮抗剂是防治迟发性脑血管痉挛的有效措施。

Objective To inquire into the pathogenesis, clinical features and preventing methods of the delayed cerebral vasospasm induced by subarachnoid hemorrhage(SAH). Methods The clinical data of 42 patients with delayed cerebral vasospasm induced by SAH were analyzed retrospectively. Results 24 patients were cured, 13 patients were alleviated and 5 patients died. Conclusions The delayed cerebral vasospasm is a main reason that cause permanent disability or death. Clearing away the blood in subarachnoid space in time, maintaining the effective cerebral perfusion and calcium antagonists were effective treatment.