颅内动脉瘤性蛛网膜下腔出血血管痉挛治疗的临床探讨  

The clinical investigation of cerebral vasospasm theatment in intracranial aneurysmal subarachnoid hemorrhage

作　　者：龙先喻[1] 黄晓松[1] 袁波[1] 李远红[1] 刘柳青[1] 

机构地区：[1]湖南省脑科医院神经内科三科,长沙410007

出　　处：《临床神经外科杂志》2012年第2期76-77,共2页Journal of Clinical Neurosurgery

摘　　要：目的探讨颅内动脉瘤性蛛网膜下腔出血脑血管痉挛的治疗方法。方法回顾性分析颅内动脉瘤性蛛网膜下腔出血合并脑血管痉挛患者临床资料67例。结果 23例并发脑血管痉挛,6例发生一侧肢体功能障碍,3例发生脑血栓形成。经治疗后61例C-反应蛋白恢复正常,6例明显下降,4例肢体功能恢复正常,1例恢复到4级,1例死亡。结论炎症因子在脑血管痉挛中明显升高;钙离子拮抗剂尼莫地平加抗氧化剂依达拉奉中药川芎嗪联合治疗动脉瘤性蛛网膜下腔出血所致的脑血管痉挛有较好疗效。Objective To investigate the therapy of intracranial aneurysmal subarachnoid hemorrhage（ SAH ） cerebral vasospasm. Methods 67 cases suffering from intracranial aneurysm with rupture subarachnoid hemorrhage were retrospective analysis. Results 23 cases complicated by cerebral vasospasm, 6 cases with a side of limb dysfunction, thrombosis occurred in 3 patients. After treatment, 61 cases of C-reactive protein returned to normal,6 cases decreased significantly, 4 cases of limb function returned to normal, and 1 case back to 4 level, one died. Conclusion Inflammatory factors level in cerebral vasospasm were significantly increased; calcium antagonist nimodipine plus antioxidant edaravone treatment of traditional Chinese medicine combined TMP aneurysmal subarachnoid hemorrhage cerebral vasospasm has a good therpy effect.

关 键 词：蛛网膜下腔出血 脑血管痉挛 治疗 

分 类 号：R651.1[医药卫生—外科学]