摘要
目的 探讨自发性蛛网膜下腔出血(SAH)合并脑梗塞的临床特点.方法 对15例SAH后合并脑梗塞患者的临床资料进行回顾分析.结果 蛛网膜下腔出血合并脑梗塞发生蛛网膜下腔出血后4～12天,平均8.3天;年龄52～81岁,平均65.6岁;临床Hunt-HessⅡ～Ⅲ级12例,Ⅳ～Ⅴ级3例;部分患者梗塞前有短暂性脑缺血发作.结论 SAH后Hunt-HessⅡ～Ⅲ级;有动脉粥样硬化危险因素;有短暂性脑缺血发作的老年人,7～10天左右易发生脑梗塞.
[Abstract] Objective To explore the clinic characteristic of spontaneous subarachnoid hemorrhage(SAH) complicated cerebral infarction.Methods 15 patients SAH complicated cerebral infarction were analysed retrosfec-tively. Results SAH complicated cerebral infarction happened in 4 ~ 12 days after SAH , mean 8.3 days; ages from 52 to 81 years, average 65.6 years; Hunt-Hess II ~III 12 cases, IV ~ V 3 patients, 8 persons had TIA (transient is-chemic attack) before cerebral infarction.Conclusion Several facfors such as Hunt-Hess degrees II ~ III; with hazardous factors of atherosclerosis;aged patients with TIA ,7 ~ 10 days after SAH were apt to cerebral infarction.
