自发性蛛网膜下腔出血后并发症的处理

Management of Complications of SAH

本文对经脑血管造影、头颅CT扫描及手术证实的120例SAH进行了临床分析,结果表明SAH后并发再出血、脑血管痉挛、脑积水、颅内血肿是SAH患者致残和死亡的直接原因。本文探讨了对这些并发症的处理原则,认为真正改善SAH预后的有效方法是SAH一旦发生,应尽早确定病因,早期行显微外科手术。

In this paper, clinical analysis was made in 120 case of SAH verfied by cerebral angiography, skull CT scanning and operations. The results showed that maim and death directly resulted from complications of SAH such as rehemorrahage, cerebrovascular spasm, hydrocephalus and intracranial hematoma. This paper also discusses the principles of management, suggesting an effective way to improve the prognosis of SAH——Etiologic determination should be made immediately as soon as it develops and microsurgery be performed at an early stage.