蛛网膜下腔出血诊断与治疗方法分析  

Diagnosis and treatment of subarachnoid hemorrhage

作　　者：薛正玉[1] 冯鸿义 林一飞 侯辉光[3] 

机构地区：[1]江苏省江阴市疾病预防控制中心,214400 [2]解放军第515远望医院 [3]上海同济大学附属同济医院

出　　处：《职业与健康》2004年第3期129-130,共2页Occupation and Health

摘　　要：目的　分析腰穿与CT检查在蛛网膜下腔出血诊断中的价值 ;判断静脉滴注甘油对缓解颅内压增高与钙通道阻滞剂对防治脑血管痉挛的作用。方法　采用腰穿脑脊液检查与头颅CT扫描检查 ;静脉滴注甘油 ,静脉滴注或口服尼莫通 (尼莫地平 )。结果　患者中 ,CT检查仍存在 2 0 3 %不能检及蛛网膜下腔出血的相应阳性结果 ,而腰穿则 10 0 0 %阳性 (染血或黄变 ) ;上述治疗结果 ,提示能降低颅内高压和预防与缓解脑血管痉挛。结论　近年在蛛网膜下腔出血中采用的诊断与治疗方法有实际的临床应用价值。To analyze the value of lumbar puncture and CT scan in diagnosis of subarachnoid hemorrhage (SAH), to study the effect of intravenous dripping glyceleum on relieving intracranial hypertensionand the effect of calcium channel antigonist on anti-cerebrovascular spasm. It included: lumber puncture and CT Scan, intravenous dripping glyceleum(250 ml, i. v. bid or 500 ml, i. v. qd) and nimotop or nimodipine ( 10 mg/50 ml, i. V. qd), or administered nimodipine (40～ 60 mg, p. o. tid or qid). Through CT scan, the results of 20.3% patients with SAH remained negative, but through lumbar puncture, that of 100.0% showed positive. It indicated that intracranial hypertension could be decreased, and cerebrovascular spasm could be prevented and alleviated. [Conclusion] The above methods have practical value.

关 键 词：蛛网膜下腔出血 腰穿 CT扫描 甘油 钙通道阻滞剂 

分 类 号：R743.35[医药卫生—神经病学与精神病学]