中脑周围非动脉瘤性蛛网膜下腔出血的临床特点  

Clinical Features of Perimesencephalic Nonaneurysmal Subarachnoid Hemorrhage

作　　者：刘爱华[1] 李佑祥[1] 杨中华[2] 张静波[1] 刘丽萍[2] 吕宪利[1] 高坤[1] 吴中学[1] 

机构地区：[1]首都医科大学附属北京天坛医院神经外科,北京市1100050 [2]首都医科大学附属北京天坛医院神经内科

出　　处：《中国卒中杂志》2008年第5期311-314,共4页Chinese Journal of Stroke

基　　金：国家自然科学基金资助项目(30571900);北京市自然科学基金资助项目(7062015);北京市科技新星资助项目(2007A043)

摘　　要：目的分析中脑周围非动脉瘤性蛛网膜下腔出血(PNSH)的临床及影像学特点及预后。方法回顾性分析34例出血部位仅限于中脑周围脑池的PNSH的临床及影像学资料、治疗与预后。结果34例PNSH患者无意识障碍,Hunt-Hess分级均为Ⅰ～Ⅱ级,无明显的脑血管痉挛、脑积水与再出血,预后较好。结论正确认识中脑周围非动脉瘤性蛛网膜下腔出血可提高蛛网膜下腔出血的临床诊治水平。Objective To investigate the clinical and radiological features and prognosis of perimesencephalic nonaneurysmal subarachnoid hemorrhage (PNSH). Methods Total 34 cases whose subarachnoid hemorrhage lesions were found only within perimesencephalic cisterns were retrospectively investigated, including the clinical data, radiological features, treatments and prognosis. Results All the patients were conscious, whose Hunt-Hess scale were Grade I to II and they were all cured, without serious cerebral vasospasms, hydrocephalus, or rebleeding. Conclusion It is important for correct analysis of PNSH to improve correct diagnosis and treatments.

关 键 词：蛛网膜下腔出血 中脑 临床特点 

分 类 号：R743.3[医药卫生—神经病学与精神病学]