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蛛网膜下腔出血后脑血管痉挛危险因素探讨 被引量：14

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摘要 目的通过对临床观测指标与蛛网膜下腔出血(subarachnoid hemorrhage,SAH)后脑血管痉挛(cerebral vasospasm,CVS)关系的回顾性分析,筛选出相关危险因素,为指导临床SAH后CVS治疗提供依据。方法收集符合研究标准的99例SAH患者临床资料,按是否发生CVS分为两组,分析入院时年龄、发病意识、发病时体温、血钙水平及钙离子拮抗剂干预、Hunt-Hess分级、白细胞计数等相关指标。结果两组患者体温、白细胞计数、血钙、钙离子拮抗剂干预、Hunt-Hess分级、发病意识均有统计学差异(P<0·05)。中年、高Hunt-Hess分级、白细胞计数升高均与CVS的发生呈正相关;钙离子拮抗剂干预为CVS发生的负相关因素。结论年龄、Hunt-Hess分级、白细胞计数为SAH后发生CVS的独立危险因素,钙离子拮抗剂的使用为保护因素;发病意识为SAH后发生CVS正相关因素;血钙为SAH后发生CVS负相关因素。
作者 黄佳 吴裕臣 洪道俊 张玉生
机构地区 南昌大学第一附属医院心身医学科 南昌大学第一附属医院神经内科
出处 《中国神经精神疾病杂志》 CAS CSCD 北大核心 2009年第6期368-370,共3页 Chinese Journal of Nervous and Mental Diseases
关键词 蛛网膜下腔出血 脑血管痉挛 危险因素
分类号 R743.35 [医药卫生—神经病学与精神病学]
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参考文献11

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二级参考文献69

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共引文献33082

同被引文献116

引证文献14

二级引证文献64

中国神经精神疾病杂志
2009年 第6期

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