摘要
目的:探讨自发性蛛网膜下腔出血(SAH)的起病状态、病因、临床特点及治疗体会。方法:2005-2014年收治SAH患者28例,回顾性分析临床资料。结果:头颅CT明确诊断22例,腰穿明确诊断6例,在院死亡4例,恶化6例。在外院行DSA明确脑动脉瘤7例(其中介入治疗5例,梗阻性脑积水行腹腔脑脊液引流术1例,介入术中死亡1例)。结论:自发性蛛网膜下腔出血无明显诱因,临床表现多样,极易误诊,治疗棘手,早期DSA介入治疗可以改善预后。
Objective:To explore the onset state,etiology,clinical features and treatment experience of spontaneous subarachnoid hemorrhage.Methods:The clinical data of 28 cases of patients with SAH from 2005 to 2014 were studied retrospectively.Results:22cases were diagnosed by CT,6 cases were diagnosed by lumbar puncture and 4 cases were died in hospital and 6 cases was deteriorated.7 cases were diagnosed as cerebral aneurysms by DSA in other hospital,including 5 cases given interventional therapy,1 case with obstructive hydrocephalus given abdominal cerebrospinal fluid drainage and 1 case of death involved in intraoperative.Conclusion:The spontaneous subarachnoid hemorrhage had no apparent cause and had diversity clinical manifestations,which was easily misdiagnosed and had intractable treatment,and early DSA interventional treatment could improve the prognosis.
