中脑周围非动脉瘤性蛛网膜下腔出血的临床研究进展  

Current Medical Knowledge about Perimesencephalic Nonaneurysmal Subarachnoid Hemorrhage

作　　者：刘瑞霞 郭文文 张媛媛 Liu Ruixia;Guo Wenwen;Zhang Yuanyuan(School of Medicine,Huanghe Science and Technology College,Zhengzhou City,Henan Province 450063)

机构地区：[1]黄河科技学院医学院,河南郑州450063

出　　处：《黄河科技学院学报》2024年第5期20-25,共6页Journal of Huanghe S&T College

摘　　要：中脑周围非动脉瘤性蛛网膜下腔出血(perimesencephalic nonaneurysmal subarachnoid hemorrhage,PNSH)是蛛网膜下腔出血(Subarachnoid Hemorrhage,SAH)的一种特殊类型,发生率约0.5/100000人·年,男性高发,无明确危险因素。颅脑CT血管造影是其首选检查方法。PNSH的危险因素、发病机制及临床表现等在国内外的研究结论不一,相比动脉瘤性SAH(aneurysmal-SAH,a-SAH)而言,PNSH的临床症状较轻,并发症少见且持续时间短暂,长期预后较好。就PNSH的流行病学、危险因素、病因及发病机制、诊断、临床表现、治疗及预后的临床研究成果展开综述。Perimesencephalic nonaneurysmal subarachnoid hemorrhage is a special type of subarachnoid hemorrhage.The incidence of PNSH is about 0.5 per 100,000 person-years,men are more often affected,and no risk factors were confirmed.Computed tomography angiography is the preferred diagnostic strategy.Studies on the risk factors,pathogenesis and clinical manifestations of PNSH differ from domestic and overseas.Compared with aneurysmal SAH,PNSH has mild clinical symptoms,transient and rare complications.Long-term outcome is excellent with respect to disability and death.This article provides a comprehensive review of epidemiology,risk factors,etiology and pathogenesis,diagnosis,clinical manifestations,treatment,and prognosis of PNSH.

关 键 词：中脑周围非动脉瘤性蛛网膜下腔出血 危险因素 发病机制 症状 

分 类 号：R743[医药卫生—神经病学与精神病学]