【摘要】 目的 :评价数字减影脑血管造影 (DSA)对自发性蛛网膜下腔出血 (SAH)的临床价值。方法 :收集行DAS检查的 69例自发性SAH患者 ,其中 42例行血管内治疗。结果 :作DSA的 69例中 ,未发现异常 16例 ;发现动脉瘤 3 8例 ,动静脉畸形 (AVM) 14例 ;两者兼有 1例。行血管内治疗的 42例中 ,1例术中出血死亡 ,2例血管栓塞 ,余 3 7例术后未见再出血。未作血管内治疗者再出血发生率2 1% ,再出血死亡率 87%。结论 :DSA是明确自发性SAH原因的可靠方法 ,血管内治疗可避免再出血发生更多还原

【Abstract】 Aim:To evaluate the clinic value of digital subtraction angiography (DSA) in spontaneous subarachnoid hemorrhage(SAH). Methods:69 cases with spontaneous SAH were performed by DSA;42 cases were treated with endovascular therapy. Results:DSA showed an aneurysm in 38 cases; anteriovenus malformation (AVM) in 14; one case with aneurysm and AVM; 16 cases were negative. One patient died of ruptured aneurysm in this approach; embolism occurred in 2 cases. No rebleeding occurred after endovascular therapy. Rebleeding occured in 21% patients without endovascular therapy. Mortality rate of rebleeding amounts to 87%. Conclusion:DSA is a reliable method for detection cause of SAH. Endovascular therapy avoided incidence of rebleeding.更多还原