【摘要】 为探讨原发性脑蛛网膜下腔出血的诊断和治疗 ,对 1 993～ 2 0 0 3年住院的 1 0例原发性脑蛛网膜下腔出血患者进行了回顾性分析。结果表明 ,1 0例患者中 ,5例描述有爆裂样头痛 ,2例头颅CT检查阴性 ,经腰穿检查确诊。治愈 2例 ,占 2 0 % ;好转 3例 ,占 3 0 % ;死亡 5例 ,占5 0 %。提示爆裂样头痛是主要的、但非特异的特征 ,所有患者均须行CT扫描 ,如CT阴性则应行腰穿检查。原发性脑蛛网膜下腔出血的死亡率很高 ,进一步探讨其诊断和治疗仍有积极的临床意义。更多还原

【Abstract】 To observe clinical analysis of primary brain subarachnoid hemorrhage, a retrospective survey was done in 10 patients with primary brain subarachnoid hemorrhage in our hospital from 1993 to 2003. The results showed that among the 10 patients with primary brain subarachnoid hemorrhage, all patients presented headache, blowout headache happened in 5 patients. In 2 patients, the examination of computerized tomography(CT) were negative, but the lumbar-centesis(LP) were positive. 2 patients (20%) were healed, 3 patients(30%) were on the mend, 5 patients(50%) were death. It concluded blowout headache was a common symptom in patients with primary brain subarachnoid hemorrhage. The examination of CT and LP were useful in the diagnosis of the disease.更多还原