动脉瘤性蛛网膜下腔出血后迟发性脑血管痉挛的临床诊疗27例临床分析  

Analysis on the diagnosis and thrapeutic method of delayed cerebral vasospasm following aneurysmal subarachnoid hemorrhage

作　　者：封硕[1] 李爱民[2] 刘希光[2] 李宁[2] 宋立坤[1] 

机构地区：[1]江苏徐州医学院 [2]江苏徐州医学院附属连云港第一人民医院神经外科,连云港222002

出　　处：《河南外科学杂志》2011年第1期3-5,共3页Henan Journal of Surgery

摘　　要：目的探讨动脉瘤性蛛网膜下腔出血后迟发性脑血管痉挛的临床特点和治疗方法。方法对27例动脉瘤破裂出血后发生迟发性脑血管痉挛的患者资料进行回顾性分析。结果动脉瘤破裂出血后发生迟发性脑血管痉挛大多在发病后2周内(21例,77.78%),经治疗后迟发性脑血管痉挛得到改善(P<0.05)。结论在明确蛛网膜下腔出血病因的前提下,应尽早采取手术、药物等综合措施应对迟发性脑血管痉挛的发生。Objective To explore the clinical characteristics and therapeutic method of delayed cerebral vasospasm（DCVS）following aneurysmal subarachnoid hemorrhage（aSAH）.Methods The clinical and imaging data of 27 patients with DCVS following aSAH were analysed retrospectively.Results The incidence of DCVS in two weeks following aSAH was 77.78%（21/27 patients）,and the patient＇s condition was significantly better than before initiating therapies（P 0.05）.Conclusion s If the cause of SAH is clear,the comprehensive preventions and therapeutic methods should be taken to control the DCVS as soon as possible.

关 键 词：动脉瘤 蛛网膜下腔出血 脑血管痉挛 

分 类 号：R743.35[医药卫生—神经病学与精神病学]