摘要
目的:探讨动脉瘤性蛛网膜下腔出血(aSAH)后慢性脑积水的易患因素。方法:回顾分析处理32例手术治疗的aSAH 后慢性脑积水的临床资料。结果:慢胜脑积水的发生率在年龄大于60岁和小于60岁患者之间、Hunt-HessⅢ-Ⅴ级和Ⅰ-Ⅱ级之间、后循环动脉瘤和前交通动脉瘤与其他部位动脉瘤之间、出血次数在两次以上与一次之间、有脑室积血与无脑室积血之间,前者均明显高于后者(p<0．05)。结论:年龄大于60岁,Hunt-HessⅢ-Ⅴ级,后循环动脉瘤和前交通动脉瘤,两次以上出血和有脑室积血是aSAH后慢性脑积水的易患因素。
Objective ：To study predictive tactors of chronic hydrocephalus among patients with aneurysmal subaracnnoid hemorrhage. Methods ：Thirty two patients with aneurysmal subarachnoid hemorrhage were retrospectively studied. Results ：The morbidities of chronic hydrocephalus between patients were more than 60 years old and less than 60 years old, Hunt-Hess gradeⅢ -Ⅴ and Ⅰ-Ⅱ, posterior circulation aneurisms and anterior communicating artery aneurisms and the other aneurisms, time of bleeding were significantly different statistically （ P 〈 0.05 ）. Conclusion：Patients were more than 60 years old, Hunt-Hess grade Ⅲ - Ⅴ, posterior circulation aneurisms and anterior communicating artery aneurisms, time of bleeding was more than two and ventricular bleeding were risk factors of chronic hydrocephalus.
出处
《重庆医科大学学报》
CAS
CSCD
2005年第6期890-891,898,共3页
Journal of Chongqing Medical University
