原发性蛛网膜下腔出血临床分析

Clinical Analysis of Primary Subarachnoid Hemorrhage

目的 研究原发性蛛网膜下腔出血的临床特征。方法 对 1 2 7例原发性蛛网膜下腔出血患者的临床表现、神经影像学、治疗及预后等资料进行分析。结果 SAH死亡率 2 3.6 % ,发病时有意识或 (及 )精神障碍或原发性高血压者预后较差。早期头颅CT显示SAH部位在大脑半球表面沟裂、中脑周池、桥池、环池或脑室内者预后较差。结论 根据早期头颅CT显示SAH部位选用综合治疗措施能够判断预后 ,降低死亡率。良性SAH与动脉瘤破裂致SAH有明显区别 ,病情相对较轻 ,预后良好 ,DSA绝大部分阴性。

Objective To Probe the clinical features of primary subarachnoid hemorrhage. Methods In 127 cases of primary subarachnoid hemorrhage patients, the clinical manifestations, nerve images, treatment and prognosis were analyzed. Results The death rate of primary subarachnoid hemorrhage is 23.6%. When the patients complicated with psychonosema, disorder of consciousness or primary hypertension, the prognosis is poor. The early CT images indicated that if the lesion region located at cerebral cortex, cisterna, ventricles, the prognosis is also poor. Conclusions The region can be judged according to the early CT images, and we can evaluate the prognosis. The prognosis of benign primary subarachnoid hemorrhage is well, and is adapt to medical treatment.