摘要
目的对颅内动脉瘤破裂术后脑血管痉挛危险因素进行分析。方法选择在我院治疗的临床资料完整的颅内动脉瘤破裂患者90例为研究对象,分析患者术后发生血管痉挛的危险因素。结果血钙水平是术后脑血管痉挛的保护因素,而Hunt-Hess分级、改良Fisher分级和再出血是术后脑血管痉挛的危险因素(P<0.01)。结论高血钙能够减少术后脑血管痉挛的发生,Hunt-Hess分级和改良Fisher分级越高,发生再出血,患者更容易发生术后脑血管痉挛。
Objective To discuss risk factors of postoperation cerebral angiospasm in patients with ruptured intracranial aneurysm. Methods Ninety cases with ruptured intracranial aneurysm were selected as subjects. Risk factors of postoperation cerebral angiospasm were analyzed. Results Level of serum Ca2＋ was protective factor, and Hunt-Hess classification, Fisher classification and rehaemorrhagia were risk factors （P 〈0.01 ）. Conclusion High level of serum Ca2＋ can reduce cerebral angiospasm. Patients with high degree of Hunt-Hess classification and Fisher classification, and rehaemorrhagia are easer for cerebral angiospasm.
出处
《中国现代医生》
2014年第7期46-47,共2页
China Modern Doctor
关键词
颅内动脉瘤破裂
血管痉挛
影响因素
Ruptured intracranial aneurysm
Cerebral angiospasm
Association factors
