不典型蛛网膜下腔出血42例临床分析

The Clinical Analysis of 42 Patients with Atypical Subarachnoid Hemorrhage

目的 探讨不典型蛛网膜下腔出血的临床表现、诊断和治疗方法，以提高确诊率，减少误诊。方法 选择本院2001年1月～2006年12月收治的42例不典型蛛网膜下腔出血患者，对其病例资料进行回顾性分析。结果 42例不典型蛛网膜下腔出血患者入院后35例（83．3％）经cT检查确诊；CT扫描阴性的7例（16．7％）经脑脊液检查后方确诊。经治疗后35例痊愈出院（83．3％）；4例自动出院（9．52％）；3例转院（7．14％）。结论 对不典型蛛网膜下腔出血症状应提高认识，争取早期明确诊断，以减少误诊，让患者得到及时治疗。

Objective To investigate the clinical manifestation of atypical subarachboid hemorrhage and investigate the method of diasnosis and treatment of atypical subarachnoid hemorrhage in order to raise the rate of definite diasnosis and decrease the wrong diasnosis. Methods The 42 inpatients with atypical subarachbnoid hemorrhage of my hospital fron January of 2001 to December of 2006 were studies retrospectively. Results Among the 42 patients, 34 ones （80.9%）were diagnosed definitely by computer tomography, the others（19.1%） were diasnosed definitely by CSF test. 35 patients（83.3%） were cured; 4 patients （9.52%） were discharged from hospital and 3 patients（7.14%） were transferred from my hospital. Conclusion We should deepen our understanding of the symptom of atypital subarachnoid hemorrhage and should diagnose and treat it at early stage.