摘要
目的:探讨首次全脑血管造影(DSA)阴性的自发性蛛网膜下腔出血(SAH)患者的发病原因。方法:对29例首次DSA阴性的自发性SAH患者的临床资料进行回顾性分析。结果:首次DSA检查阴性29例(14.9%),在发病2～3周后病情稳定时进行第2次全脑血管造影,其中15例(51.7%)明确诊断为动脉瘤。结论:对于首次DSA阴性的自发性SAH的患者,其病因可能是多方面的,在诊治过程中应予足够重视,有条件应复查头颅CTA以及再次DSA。
Objective：To analysis the etiology of patients having subarachoid hemorrhage with initia1 normal DSA.Methods：The clinical data of 29 SAH patients with negative initial DSA were analyed retrospectivel.Results：The first DSA check negatie 29 patients（14.9%）,coming on 2～3 weeks later when the second in stable condition,including whole cerebral angiogram 15 cases（51.7%）clearly diagnosed as aneurysm.Conclusion：SAH with negative initial DSA should be paid more attention to diagnosis and treatment.A second DSA oCTA should be considered.
