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蛛网膜下腔出血的临床诊治分析

The analysis of the diagnosis and treatment of subarachnoid hemorrhage
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摘要 目的分析蛛网膜下腔出血(SAH)的临床诊治经验,以提高SAH的治疗效果。方法分析5年来我科收治的SAH患者58例的临床资料。结果 58例SAH患者经手术治疗35例,非手术治疗23例,死亡30例(51.7%),重残10例(17.2%),中残8例(13.8%),良好10例(17.2%)。结论加强对SAH患者病情变化的观察,积极行手术减压及生命支持,维持有效的脑血流灌注和脑供氧,改善脑微循环,预防和控制并发症,是提高SAH患者救治或成功率和生存质量的重要手段。 Objective To analysis the diagnosis and treatment experience of subarachnoid hemorrhage (SAH) in or- der to improve the effect. Methods Analyzed the clinical data of 58 cases patients with SAH. Results 35 cases patients with SAH was treated by surgery,23 cases patients with SAH was treated by non-surgical treatment. Death 30 cases(51.7% ), severely disabled 10cases ( 172 % ), moderate disability 8 cases ( 13.8 % ), favourable prognosis 10 cases ( 17.2 % ). Conclusion To strengthen the observation of the changes in patients with subarachnoid hemorrhage, active operation of decompression and life support, maintain effective perfusion of cerebral blood flow and cerebral oxygen supply, improve cerebral microcirculation, prevention and control of complications, is an important measure to improve the treatment of the patients or the success rate and quality of life after SAH.
作者 李柏胜
出处 《临床合理用药杂志》 2013年第34期12-13,共2页 Chinese Journal of Clinical Rational Drug Use
关键词 蛛网膜下腔出血 诊断 治疗 Subarachnoid hemorrhage Diagnosis Treatment
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