自发性蛛网膜下隙出血临床症状分析28例

Analysis of Clinical Signs and Symptoms of 28 Cases with Spontaneous Subarachnoid Hemorrhage

目的:探讨自发性蛛网膜下隙出血患者的临床表现。方法:纳入28例自发性SAH患者。采用问卷形式询问患者病史中常见的临床表现。结果:28例患者均确诊为脑动脉瘤。头痛是最常见的症状,有64.3%患者有此症状。其次常见的症状分别为恶心(46.4%)、短暂意识丧失(42.9%)、共济失调(21.4%)、轻偏瘫(14.3%)、复视(7.1%)和癫痫发作(3.6%)。高血压和有吸烟史的患者分别占39.3%和32.1%。结论:动脉瘤性SAH的预后仍较差。突发剧烈头痛伴或不伴神经功能障碍是自发性SAH的一个重要临床表现。

Objective： To investigate the clinical manifestations in patients with spontaneous subarachnoid hemorrhage （SAH）. Methods： 28 patients admitted with spontaneous SAH were enrolled in the study. History of frequent signs and symptoms were asked with questionnaires. Results： 28 cases of spontaneous SAH were all diagnosed as cerebral aneurysm. Headache, the most frequent symptom, was present in 64.3% of the patients. Nausea （46.4%）, Transient loss of （42.9%）, ataxia （21.4%）, hemiparesis （14.3%）, diplopia （7.1%）, and seizure （3.6%） were the next most frequent symptoms. Hypertension and smoking were found in 39.3% and 32.1% of the cases, respectively. Conclusions：The overall outcome after aneurysmal SAH remains poor. Sudden, severe onset of headache with or without neurologic deficits is an important symptom for spontaneous SAH.