摘要
目的探讨动脉瘤性蛛网膜下腔出血后脑血管痉挛的危险因素。方法回顾性分析93例动脉瘤性蛛网膜下腔出血患者的临床资料,研究脑血管痉挛的危险因素。结果 93例动脉瘤性蛛网膜下腔出血患者中共有28例患者(30.1%)发生脑血管痉挛。Hunt-Hess分级≥Ⅲ级血管痉挛发生率明显高于Hunt-Hess分级Ⅰ-Ⅱ级,差异有统计学意义(P<0.01);Fisher分级≥Ⅲ级血管痉挛发生率明显高于Fisher分级Ⅰ-Ⅱ级,差异有统计学意义(P<0.01);白细胞计数>15×109的患者脑血管痉挛发生率(41.9%,18/43)明显升高(P<0.05)。结论 Hunt-Hess分级≥Ⅲ级、Fisher分级≥Ⅲ级、白细胞计数增高是蛛网膜下腔出血后脑血管痉挛的危险因素。
Objective To investigate the risk factors for cerebral vasospasm （CVS） after aneurysmal subarachnoid hemorrhage （aSAH）. Methods A retrospective analysis was performed on the clinical data of 93 patients with aSAH to investigate the risk factors for CVS. Results Of the 93 patients, 28 （30.1% ） had CVS. The patients with Hunt-Hess grade ≥ III aSAH had a significantly higher incidence of CVS than those with Hunt-Hess grade I-II aSAH （50.0% vs 16.9%, P 〈0.01 ）. The patients with Fisher grade ≥III aSAH had a significantly higher incidence of CVS than those with Fisher grade I-II aSAH （54.1% vs 14.3%, P 〈0.01 ）. The pa- tients with a white blood cell count greater than 15 x 109/L had a significantly higher incidence of CVS than those with a cell count less than or equal to 15 ×10^9/L （41.9% vs 20%, P 〈 0. 05）. Conclusions Hunt-Hess grade ≥ III, Fisher grade ≥III, and increased white blood cell count are the risk factors for CVS after aSAH.
出处
《国际神经病学神经外科学杂志》
2013年第2期128-130,共3页
Journal of International Neurology and Neurosurgery
