摘要
目的 探讨蛛网膜下腔出血（SAH）后急性脑积水（AHC）与脑室、脑池积血及分布的相关性及临床意义。方法 对84例SAH患者的临床及影像学资料进行综合分析,将SAH后AHC组与非AHC组进行对照研究。结果 84例SAH发生AHC22例（26.2％）,AHC者的脑室积血（36.4％）显著高于无AHC（6.45％）。在无脑室积血的患者中,AHC组与无AHC组比较脑池出血量显著增多,尤以环池明显。SAH病情越重,AHC的发生率越高。SAH后AHC死亡率（81％）显著高于无AHC者（19％）。结论AHC是SAH急性期主要并发症,与脑室、脑池积血及分布密切相关,其预后不良应引起临床医生的注意。
Objective To study the association between intraventricular hemorrhage,cisternal hemorrhage and acute hydrocephalus(AHC) after subarachnoid hemorrhage (SAH). Methods 84 cases of SAH were analysed on the clinical and image data and occurrence circustance of AHC after SAH. Results The incident rates of AHC after SAH were 26. 2%. The incident rate of intraventricular hemorrhage among patients with AHC (36. 4%) was significantly higher than that among those without(6. 45%). In the patients without intraventricular hemorrhage, the extent of cisternal hemorrhage,especially ambient cisternal hemorrhage of the cases with AHC was significant-ly higher than those without. Incidence of AHC tended to parallel clinical grade . The mortality rate among pa-tients with AHC (81%) was significantly higher than that among those without (19%). Conclusion AHC is an important complication after SAH. Strong evidence is provided for a significant association among the presence of intraventricular blood , the extent of cisternal hemorrhage, especially ambient cisternal hemorrhage and AHC. The bad outcome of pallets with AHC shoud be paied attention to doctors.
出处
《中风与神经疾病杂志》
CAS
CSCD
北大核心
2002年第4期208-210,共3页
Journal of Apoplexy and Nervous Diseases
关键词
蛛网膜下腔出血
急性脑积水
脑室积血
脑池积血
: Subarachnoid hemorrhage
Acute hydrocephalus
Intraventricular hemorrhage
Cisternal hemorrhage
