鞍上池血肿31例临床分析

The clinical study of 31 cases of supra sella cistern hemorrhage

目的 研究鞍上池血肿的临床特征。方法 对 31例首次头颅 CT所见符合典型鞍上池血肿患者的临床表现、神经影像学、并发症及预后等资料进行分析。结果 本组患者表现头痛 30例 ( 96 .8%) ,呕吐 2 2例( 71.0 %) ,一过性意识障碍 3例 ( 9.7%) ,昏迷 2例 ( 6 .5 %) ,脑膜刺激征阳性 2 6例 ( 83.9%) ,有局灶神经障碍 3例( 9.7%) ,2 8例 ( 90 .3%)全脑血管造影为阴性 ,病程中无内科及神经系统并发症发生 ,痊愈出院。结论 鞍上池血肿患者临床表现如一般蛛网膜下腔出血的症状和体征 ,与动脉瘤破裂所致蛛网膜下腔出血有明显区别 ,病情相对较轻 ,并发症少 ,预后良好 ,恢复期短 ,全脑血管造影绝大部分阴性。此型病例大多数适合内科保守治疗。

Objective To study the clinical features of supra sella cistern hemorrhage.Methods We studied the clinical manifestation,CT and DSA findings,complications and prognosis of 31 cases.Results In our study,96.8% cases had headache, 71.0% vomiting,only 2 cases(6.5%)coma;83.9% meningeal irritation.No internand neurological complications occurred in most cases and they recovered completely. Conclusion The clinical manifestations of supra sella cistern hemorrhage cases are similar to those of usual subarachnoid hemorrhage, but different from those of aneurysmal subarachnoid hemorrhage.