改良Fisher分级与破裂动脉瘤患者症状性脑血管痉挛的关系  

The Mechanism between the Symptomatic Vasospasm and Improved Fisher′s Scale in Patents with Ruptured Aneurysms

作　　者：常谦[1] 刘俊[1] 岑键昌[1] 

机构地区：[1]云南省昆明市第一人民医院神经外科,650034

出　　处：《实用心脑肺血管病杂志》2012年第7期1209-1210,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的分析破裂出血动脉瘤患者改良Fisher分级与术后症状性脑血管痉挛发生的关系。方法按改良Fisher分级评价动脉瘤破裂出血患者216例。症状性血管痉挛的诊断根据迟发性神经功能损害并经颅多普勒检查证实。结果 216例患者中共发生症状性血管痉挛79例(36.6%),按照改良Fisher分级评价,术前不同级别的患者术后症状性脑血管痉挛发生率比较,差异有统计学意义。结论症状性脑血管痉挛的发生率与蛛网膜下腔出血量有显著的相关关系。Objective To analyze the incidence of symptomatic cerebral vasospasm after operated therapy of ruptured aneursms.Methods 216 patients classified as improved Fisher′s scale were treated after aneurysms ruptured.Symptomatic vasospasm was diagnosed as the onset of delayed neurological deterioration with evidence of transcranial Doppler studies.Results Symptomatic vasospasm occurred in 79（36.6%）cases.Fisher′s scale before treatment was associated with the incidence of cerebral vasospasm which the statistically significant difference was obvirusly.Conclusion The incidence of symptomatic vasospasm is closely related to the blood volume of subarachnoid hemorrhage.

关 键 词：颅内动脉瘤 脑血管痉挛 蛛网膜下腔出血 

分 类 号：R743.35[医药卫生—神经病学与精神病学]