87例蛛网膜下腔出血临床分析

Clinical analysis of 87 cases of subarachnoid hemorrhage

目的通过分析蛛网膜下腔出血的发病情况和临床表现，总结经验以提高对该病的诊治认识。方法回顾性分析87例蛛网膜下腔出血的发病情况、临床表现、相关检查和治疗手段。结果影像学检查发现有39％动脉瘤或动静脉畸形。重型蛛网膜下腔出血常伴有脏器功能损害和电解质紊乱。25例有复发加重，其中死亡12例（50％）。结论蛛网膜下腔出血的重要病因是动脉瘤、动静脉畸形，复发加重是该病的主要死亡原因。

Objective To summarize experience and elevate knowledge of diagnose and therapeutics about the disease, through analyses of incidence and clinical manifestation of subarachnoid hemorrhage. Methods Analyzed the incidence and clinical manifestation and correlated examination and therapeutic tool of 82 cases subarachnoid hemorrhage . Aneurysm or arteriovenous malformation was discover in 39% cases, gravis type subarachnoid hemorrhage often compared with functional lesion organ electrolyte disturbances. Results 25 cases had got recidivation and aggravation, 12 cases die among the total , occupy 50% in the cases group. Conclusion Important etiological factor of subarachnoid hemorrhage are aneurysm and arteriovenous malformation, recidivation and aggravation is the main cause of death of the case.