原发性蛛网膜下腔出血预后因素探讨

Study on the Prognostic Factors of the Primary Subarachoid Hemorrhage

目的 :探讨原发性蛛网膜下腔出血的预后因素。方法 :通过对 12 6例原发性蛛网膜下腔出血住院病人分死亡组 ,生存组进行比较分析。结果 :死亡组中重症出血 ,近期再次出血 ,脑动脉痉挛 ,合并内科并发症明显高于生存组。结论 :影响原发性蛛网膜下腔出血预后因素主要是重症出血 ,近期再次出血 ,脑动脉痉挛 ,合并内科并发症。针对上述情况 ,临床上认真观察 ,积极防治 ,可减低死亡率。

Objective\ To study the prognostic factars of the primary subarachoid hemorrhage.Methods\ The differences between the two groups of death and recovery were analysed by using the comparative method.Results\ There are more severe hemorrhage, recurrent hemorrhage, secondary vasospasm and complications in medicine in the death group than that in the recovery group.Conclusion\ The factors that can influence the prognosis of the primary subarachoid hemorrhage are mainry severe hemorrhage, recurrent hemorrhage, secondary vasopasm and complications in medicine. To aim at those, the conscientions observation and active prevention in our clinical work may decrease the mortility of the primary subarachoid hemorrhage.