脑出血术后继发再出血考虑血管淀粉样变的诊断与思考  

Diagnosis and consideration of secondary hemorrhage after cerebral hemorrhage surgeries as vascular amyloidosis

作　　者：林海[1] 李会忠[1] 黄眉飞[1] 

机构地区：[1]福建中医药大学附属第二人民医院神经外科,福建福州350003

出　　处：《中国当代医药》2016年第28期65-68,共4页China Modern Medicine

摘　　要：目的 探讨脑出血术后继发再出血考虑血管淀粉样变的诊疗。方法 回顾性分析2014年7月-2015年8月我院收治的3例脑出血术后继发再出血患者,分析继发脑出血考虑血管淀粉样变性脑出血的原因及诊治情况。结果 3例患者均在继发出血后行影像学检查,并经影像学诊断为脑血管淀粉样变性出血。结论 未行尸检病理确诊前,影像学检查可作为血管淀粉样变性脑出血诊断的首选方法,诊断准确率较高,血管淀粉样变是引发脑出血患者术后继发再出血的危险因素,经治疗可以获得较好的预后。Objective To investigate the diagnosis and treatment of secondary hemorrhage after cerebral hemorrhage surgeries as vascular amyloidosis.Metbods A retrospective analysis was performed on 3 patients from July 2014 to August 2015 with secondary hemorrhage after cerebral hemorrhage surgeries in our hospital.The causes,diagnosis and treatment of secondary cerebral hemorrhage with vascular amyloidosis were analyzed.Results 3 cases of patients with secondary hemorrhage under went imaging examinations and were radiologically diagnosed as cerebral vascular amyloi- dosis.Conclusion Prior to the autopsy pathology diagnosis,imaging examinations can be used as the preferred and high- diagnostic-ratemethod for diagnosis of cerebral hemorrhage with vascular amyloidosis;vascular amyloidosis is the risk factor for secondary hemorrhage in post-operative patients with cerebral hemorrhage and can obtain better prognosis after treatment.

关 键 词：脑出血 血管淀粉样变性出血 诊断 

分 类 号：R722.151[医药卫生—儿科]