非动脉瘤性蛛网膜下腔出血的临床特点  

The clinical features of nonaneurysmal subarachnoid hemorrhage

作　　者：曲圣涛[1] 关俊宏[1] 陈铎[1] 杨涌杰[1] 李钢[1] 杨彦昊[2] 

机构地区：[1]中国医科大学附属盛京医院神经外科 [2]吉林省脑科医院,辽宁沈阳110004

出　　处：《中国冶金工业医学杂志》2008年第5期518-520,共3页Chinese Medical Journal of Metallurgical industry

摘　　要：目的:探讨非动脉瘤性SAH的临床特点并与同期发现的动脉瘤性SAH相比较。方法:对同期发现的非动脉瘤性SAH44例与动脉瘤性SAH147例患者的临床表现、入院时的意识状况、Hunt and Hess分级、CT表现、3D-CTA或DSA检查、并发症以及预后等情况进行比较,总结非动脉瘤性SAH的临床特点。结果:非动脉瘤性SAH与动脉瘤性SAH相比临床过程、影像学表现、并发症发生几率及预后等存在明显差异。结论:非动脉瘤性SAH尤其是中脑周围非动脉瘤性SAH是SAH的一种特殊类型,临床过程轻微,并发症少且轻,预后较好。Objective：To explore the clinical features of nonaneurysmal SAH and compare them with aneurismal SAH. Methods： We compared 44 cases with nonaneurysmal SAH and 147 cases with aneurysmal SAH in the clinical manifestations, onsciousness on admission, Hunt and Hess grade,CT scan fatures, complications and prognosis and summarized the clinical features of nonaneurysmal SAH. Results： There were evident variance on clinical process, imaging, occurrence of complications and prognosis between nonaneurysmal SAH and aneurysmal SAH. Conclusions： The nonaneurysmal SAH, especially perimesencephalic nonaneurysmal SAH, was a special type of SAH with slight clinical process, fewer complications and a better prognosis as compared to aneurysmal SAH.

关 键 词：蛛网膜下腔出血 动脉瘤 诊断 预后 

分 类 号：R743.35[医药卫生—神经病学与精神病学]