摘要
目的探讨蛛网膜下腔出血(SAH)伴急性脑积水的临床特点及影响预后的相关因素。方法回顾分析60例SAH伴急性脑积水患者的临床资料。结果本组60例SAH伴急性脑积水患者治愈35例,占58.3%;死亡25例,病死率为41.6%,其中血糖升高者病亡率为62.5%,发病有意识障碍者死亡率为60.0%。结论SAH伴急性脑积水的症状体征难以与SAH鉴别,动态CT或MRI检查可确诊,有意识障碍、反应性血糖升高者死亡率显著增加,脑室积血、脑血管痉挛及血压升高的发生率显著增加,是影响预后的重要因素。而SAH伴急性脑积水是导致蛛网膜下腔出血早期死亡的重要因素,动态观察、早期诊治十分重要。
Objective To investigate the clinical features and prognostic factors of the subarachnoid hemorrhage （SAH） with acute hydrocephalus. Methods 60 cases of SAH with acute hydrocephalus were retrospectively analyzed. Results The results showed that SAH with acute hydrocephalus and SAH symptoms and signs was difficult to identify. Dynamic CT or MRI examination can be diagnosed. The disturbance of consciousness, elevated blood glucose response to the mortality rate increased significantly （P〈0.05）. Intraventricular hematoma, cerebral vasospasm and the incidence of elevated blood pressure increased significantly affect the prognosis important factor. Conclusion SAH with acute hydro- cephalus after subarachnoid hemorrhage leading to early death of the important factors.
出处
《西部医学》
2010年第3期464-465,共2页
Medical Journal of West China
关键词
蛛网膜下腔出血(SAH)
脑积水
脑室积血
Subaraehnoid hemorrhage（SAH）
Hydrocephalus
Intraventricular hemorrhage
