摘要
目的 提高对非动脉瘤性蛛网膜下腔出血临床和影像特征、预后的认识水平,指导临床诊治.方法 首次3维脑血管造影阴性的自发性蛛网膜下腔出血患者2～3周后复查造影,两次均阴性定义为非动脉瘤性蛛网膜下腔出血.分2个亚组：中脑周围和非中脑周围非动脉瘤性蛛网膜下腔出血.结果 49例造影阴性.中脑周围者24例预后良好（格拉斯哥昏迷评分4～5分）;非中脑周围者25例,1例重残,2例死亡.47例痊愈出院,平均随访26个月.结论 中脑周围非动脉瘤性蛛网膜下腔出血预后良好,非中脑周围非动脉瘤性蛛网膜下腔出血临床过程及预后较前者差.
Objective To enhance recognition of the clinical and radiological features of nonaneurysmal subarachnoid hemorrhage （SAH） and its prognosis, and to provide guidance for the diagnosis and treatment in clinical practice. Methods Patients with spontaneous SAH, whose initial 3-dimensional digital subtraction angiography （DSA） were negative, received a second DSA after 2 to 3 weeks.Nonaneurysmal was diagnosed as SAH when both DSA were negative. All subjects were divided into 2 subgroups, perimesencephalic nonaneurysmal subarachnoid hemorrhage （ PNSAH ） group and nonperimesencephalic nonaneurysmal subarachnoid hemorrhage （ n-PNSAH ） group. Results Among 49 patients with nonaneurysmal SAH, 24 patients were PNSAH and 25 patients were n-PNSAH. Two patients died and 47 patients recovered and discharged with an average follow-up of 26 months. Conclusion The clinical course and prognosis of patients with PNSAH were good, better than that of patients with n-PNSAH.
出处
《中华内科杂志》
CAS
CSCD
北大核心
2011年第5期408-410,共3页
Chinese Journal of Internal Medicine
关键词
蛛网膜下腔出血
脑血管造影术
预后
Subarachnoid hemorrhage
Cerebral angiography
Prognosis
