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重视动脉瘤性蛛网膜下腔出血后迟发性脑缺血 被引量：6

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摘要 动脉瘤性蛛网膜下腔出血（aneurysm subarachnoid hemorrhage,aSAH）是一种具有高死亡率的疾病.其死亡率约50%,另外有10%～20%的患者生活不能自理;居高不下的死亡率和致残率主要与发生迟发性脑缺血（delaved cerebral ischemia,DCI）有关.虽然经过30年的努力,进行了大量的临床、基础研究工作,使珠网膜下腔出血（SAH）的预后逐渐有了改善,死亡率逐渐降低.但迟发性脑缺血（DCI）仍然是脑科重症中一个主要的死亡原因.
作者 施小燕
机构地区 浙江大学医学院附属第二医院脑重症
出处 《中华急诊医学杂志》 CAS CSCD 北大核心 2010年第12期1237-1240,共4页 Chinese Journal of Emergency Medicine
关键词 动脉瘤性蛛网膜下腔出血 迟发性脑缺血 HEMORRHAGE cerebral ISCHEMIA 珠网膜下腔出血 高死亡率 死亡原因
分类号 R743.35 [医药卫生—神经病学与精神病学]
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参考文献28

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同被引文献54

  • 1隋大立,王硕,赵继宗.动脉瘤破裂致急性硬膜下血肿[J].首都医科大学学报,2006,27(5):675-676. 被引量：8
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  • 4Frijns CJ, Kasius KM,Algra A, et al. Endothelial cell activation markers and delayed cerebral ischaemia in patients with subarachnoid haemorrhage [J]. J Neurol Neurosurg Psychiatry, 2006,77 (7) : 863-867.
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  • 6Jarus-Dziedzic K, Bogucki J, Zub W. The influence of ruptured cerebral aneurysm localization on the blood flow velocity evaluated by transcranial Doppler ultrasonography [ J]. Neurol Res,2001, 23 (1) : 23-28.
  • 7Sandalcioglu IE, Schoch B, Regel JP, et al. Does intraoperativeaneurysm rupture influence outcome? Analysis of 169 patients [J]. Clin Neurol Neurosurg, 2004, 106 (2) : 88-92.
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  • 9Weidauer S, Lanfermann H, Raabe A, et al. Impairment of cerebral perfusion and infarct patterns attributable to vasospasm after aneurysmal subarachnoid hemorrhage: a prospective MRI and DSA study [ J]. Stroke, 2007,38 (6) : 1831-1836.
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中华急诊医学杂志
2010年 第12期

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