蛛网膜下腔出血后迟发性脑缺血性损害的临床预测

The chinical prediction of delayed Ischemic deficit after subarachnold hemorrhage

报告68例蛛网膜下腔出血(SAH)后迟发性脑缺血性损害(DID)14例。比较DID组与非DID组的主要临床相关因素并进行统计分析,发现Huntt分级≥Ⅲ级、出血情况的CT分型属B型、合并低血压、低钠血症、急性梗塞性脑积水、颅内压持续增高和心电图异常均在DID组的发生率较高,与非DID组对照有显著差异(P<0.01或<0.05)。认为以上因素可预测DID的发生,认识这些因素有利于指导临床治疗和估计预后。

This paper reported 68 cases of subarachnoid hemorrhage (SAH) and 14 cases delayed ischemie deficit (DID). To compare the associated factors of the DID group and Non-DID group (include the case number of Huntt's grading ≥gradeⅢ , B type bleeding classfied according to CT scan, the cases complicated by hypotension, hyponatremia, acute obstructive hydrocephalus, raised intracranial pressure, abnormal ECG),there were statistically significant difference between them (P< 0. 01 or <0. 05). We suggested that the factors above be the predicatable indicator of delayed ischemie symptoms. The knowledge is beneficial to guiding clinical,treatment and estimating prognosis of DID.