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蛛网膜下腔出血致脑血管痉挛42例临床研究 被引量:4

Clinical research of cerebral vasospasm due to subarachnoid hemorrhage (report of 42 cases)
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摘要 目的探讨蛛网膜下腔出血致脑血管痉挛发病机理、治疗及预后。方法对42例蛛网膜下腔出血致脑血管痉挛的病例以及对照组50例蛛网膜下腔出血无脑血管痉挛病例进行研究应用尼莫地平治疗观察疗效及判断预后。结果两组间年龄、性别无显著性差异(P>0.05);42例CVS病人多在2周内发病;34例治疗后脑缺血症状基本消失,8例病人死亡其死亡率明显高于对照组P<0.05。结论:蛛网膜下腔出血致脑血管痉挛如及早发现、正确诊断、积极治疗多数可以逆转。 Objective To investigate the pathogenesis treatment and prognosis of cerebral vasospasm due to subarachnoid hemorrhage. Method In this research ,we studied cerebral vasospasm group(n=42)and controlled group(n=50)without cerebral vasospasm due to subarachnoid hemorrhage, used Nimodipine to treat CVS,meanwhile, observed the curative effect and estimated the prognosis. Results There is no marked difference in age and sex between two groups(P>0.05). Most patient with CVS were occurred within 2 weeks. There was 34 cases of 42 cases whose cerebral ischemic symptom was disappeared and 8 cases were death. The mortality of CVS group is higher than controlled group(P<0.05). Conclusion Cerebral vasospasm due to subarachnoid hemorrhage could mostly be reversed by early detection, exactly diagnosis and treatment.
出处 《吉林医学》 CAS 2004年第8期41-42,共2页 Jilin Medical Journal
关键词 蛛网膜下腔出血 脑血管痉孪 发病机理 CVS 平滑肌细胞 Subarachnoid hemorrhage Cerebral vasospasm Pathogenesis Treatment
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