原发性蛛网膜下腔出血致呼吸停止的危险因素分析  

Analysis on the risk factors of respiratory arrest caused by primary subarachnoid hemorrhage

作　　者：严长樱[1] 杨芳林[1] 

机构地区：[1]陕西安康市中心医院急诊内科,安康725000

出　　处：《中国实用神经疾病杂志》2013年第21期28-29,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析原发性蛛网膜下腔出血致呼吸停止的危险因素。方法选取2010-01-2013-03于本院治疗的46例原发性蛛网膜下腔出血患者为研究对象,将呼吸停止发生率进行统计,对不同CT分级、是否再出血、是否并发感染及血管痉挛者的呼吸停止发生率进行比较,并将上述因素与呼吸停止的相关性进行分析。结果 46例原发性蛛网膜下腔出血患者13例出现呼吸停止,发生率28.26%;CT分级较高者呼吸停止发生率高于CT分级较低者,再出血者发生率高于未再次出血者,并发感染者发生率高于无感染者,血管痉挛者高于无血管痉挛者,且上述指标均与呼吸停止的发生有显著相关性,差异有统计学意义(P均<0.05)。结论高CT分级、再出血、并发感染及血管痉挛均是原发性蛛网膜下腔出血致呼吸停止的危险因素,对于存在上述因素的患者应给予更多重视。Objective To analyze and study the risk factors of respiratory arrest caused by primary subarachnoid hemor- rhage. Methods 46 patients with primary subarachnoid hemorrhage in our hospital from January 2010 to March were selected as research object,then the respiratory arrest rate of all the patients was analyzed,and the respiratory arrest rate of patients with different CT stages,wether or not with rehaemorrhagia,wether or not with infection and wether or not with vasospasm were compared,and the correction between those factors and respiratory arrest were analyzed. Results 13 cases of 46 patients with primary subarachnoid hemorrhage were with respiratory arrest,the respiratory arrest was 28.26%. The respiratory arrest rate of patients with higher CT stages were higher than those with lower CT stages, the rate of patients with rehaemorrhagia was higher than that without rehaemorrhagia,the rate of patients with infection was higher than that without infection,the rate of patients with vasospasm was higher than that without vasospasm,and the correction between those factors and rate of respir- atory arrest is closed,all P〈0.05,there were all significant differences. Conclusion The high CT stage,rehaemorrhagia,infec- tion and vasospasm are all the risk factors of respiratory arrest caused by primary subarachnoid hemorrhage, so these factors should be paid more attention.

关 键 词：原发性蛛网膜下腔出血 呼吸停止 危险因素 

分 类 号：R743.34[医药卫生—神经病学与精神病学]