68例蛛网膜下腔出血的临床研究

【摘要】 目的对于68例蛛网膜下腔出血的临床研究进行探讨。方法选取我院2008年1月～2010年1月就诊的68例蛛网膜下腔出血患者,采用一般治疗、降颅压治疗、预防再出血、防治迟发性血管痉挛、脑脊液置换疗法等方法。结果本组病例就诊后24h内即明确诊断者50例(73.53%),就诊后2～4d内明确诊断者18例(26.47%)。68例蛛网膜下腔出血患者,明显好转35例,有一定好转21例,无效12例,有效率82.35%。结论 SAH起病状态不一,病因多为颅内动脉瘤,临床表现多样,DSA检查能直接明确病因,选择合理、恰当治疗方案。更多还原

【Abstract】 Objective To discuss 68 patients with subarachnoid hemorrhage.Methods 68 patients with subarachnoid hemorrhage in our hospital from February 2008 to February 2010 were chosen.Common treatment,decreasing intracranial pressure treatment,prevention of rebleeding, prevention and treatment of delayed vasospasm,cerebrospinal fluid replacement therapy and other methods were used.Results The patients within 24 h after the doctor that diagnosed were 50 cases(73.53%),and the patients within 2～4d after the diagnosis were 18 cases(26.47%).68 cases of subarachnoid hemorrhage,35 cases significantly improved,there is some improvement in 21 cases,12 cases were invalid,effective rate was 82.35%. Conclusion Onset condition of SAH varies,mostly cause by intracranial aneurysms,clinical manifestation is various,DSA examination can directly clear the cause and chose reasonable and appropriate treatment.更多还原