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脑血管造影检查阴性蛛网膜下腔出血90例临床分析 被引量：2

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摘要 目的探讨数字减影血管造影技术(DSA)检查阴性蛛网膜下腔出血(SAH)的病因、临床特点和预后。方法比较90例DSA阴性和171例DSA阳性SAH患者的性别,诱因,高血压史,糖尿病史,吸烟史,癫痫发作,入院时Hunt-Hess分级,内科治疗后的头痛、呕吐及意识障碍持续时间,再出血率,脑积水率,脑血管痉挛率,病死率,改良Fisher分级,CT表现符合中脑周围非动脉瘤性蛛网膜下腔出血的患者数量及出院时的NIHSS评分等指标。结果 DSA检查阴性的SAH患者男性居多,伴有高血压的患者较DSA阳性组少。DSA阴性的SAH患者临床症状和体征相对较轻;经治疗后,头痛及意识障碍持续时间均较短,再出血率、脑积水率、脑血管痉挛率及病死率均较低,预后良好。结论 DSA检查阴性的SAH患者临床症状及体征相对较轻,颅高压症状及意识障碍持续时间短,并发症率及病死率低,预后良好。
作者 王莲芳
机构地区 绍兴市皋埠人民医院
出处 《现代实用医学》 2011年第8期906-908,共3页 Modern Practical Medicine
关键词 蛛网膜下腔出血 脑血管造影术 中脑周围非动脉瘤性蛛网膜下腔出血
分类号 R743.35 [医药卫生—神经病学与精神病学]
  • 相关文献

参考文献7

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二级参考文献24

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共引文献34

同被引文献16

  • 1王益红,邓发斌.外伤性迟发性颅内血肿72例观察及护理[J].中外健康文摘,2011,8(21):365.
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现代实用医学
2011年 第8期

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