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自发性蛛网膜下腔出血后脑血管痉挛的防治与护理 被引量:1

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摘要 目的 探讨自发性蛛网膜下腔出血(sSAH)后脑血管痉挛(CVS)的防治和护理要点.方法 分析86例sSAH患者的临床资料,总结sSAH后CVS发生时段、先兆症状及其早期护理干预的意义.结果 86例患者中54例恢复良好,18例出现中度脑血管痉挛,14例出现重度脑血管痉挛,CVS发生率37.2%,无死亡病例.本组病例CVS发生时间在SAH后4~20(平均11)d,高峰期第7~10d.CVS发生后,持续时间最短为3d,最长为18 d;出血次数和出血程度与CVS发生率及其严重程度密切相关.结论 SAH出血后1~2周为CVS发生重点观察时段,早期防治和护理干预可明显改善其预后.
作者 周洁
出处 《医学新知》 CAS 2014年第1期67-68,70,共3页 New Medicine
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