【摘要】 目的回顾性分析研究自发性蛛网膜下腔出血(SAH)病例的临床特点。方法对临床145例经头颅CT所证实的自发性蛛网膜下腔出血(SAH)患者的一般资料、临床表现、全脑血管造影(DSA)特点、并发症进行分析。结果该组患者表现:头疼138例(95%)、呕吐126例(87%)、脑膜刺激征阳性105例(73%)、意识障碍42例(28%),所有病人中有10例放弃检查,135例行全脑血管造影检查(DSA)、造影阴性者30例(20.7%)、颅内动脉瘤98例(67%),动静脉畸形1例,moyamoya5例,动静脉瘘1例。结论SAH病人是一种神经外科急症,一般病情重,死亡率、致残率高,一旦确诊应立即转入有条件的神经外科中心行DSA检查,明确诊断后有效手术干预,提高生存率。更多还原

【Abstract】 [Objective] To study the clinical feature of Spontaneous Subarachnoid Hemorrhage (SAH) by retrospective analysis. [Methods] We analyzed the data of 145 SAH cases confirmed by head CT. The data included general information, clinical manifestation, the feature of neuroimaging and complications. [Results] In this group of patients: headache in 138 cases(95%), vomiting in 126 cases(87%), and meningeal irritation sign were positive in 138 cases (95%), conscious disturbance in 42 cases(28%). Among all patients, 10 cases gave up examination, 135 cases got DSA examination. DSA was negative in 30 cases(20.7%)aneurysm was found in 98 cases(67%), arteriovenous malformation(AVN) was found in 1 case, moyamoya was found in 5 cases, and A-V fistula was found in 1 case. [Conclusion] SAH was an emergency in department of neurology. Its pathogenetic condition was serious. The disability rate and death rate were high. Once the diagnosis was definite, the patients should be transferred to the conditioned center of neurosurgery immediately and take DSA examination. After final diagnosis, the operation intervention should be done in time, and that will raise survival rate efficiently.更多还原