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本组动脉瘤术后7例,动脉瘤蛛网膜下腔出血(ASAH)1例,均出现急剧的颅内压升高,经CT及脑血管造影证实,系为脑血管痉挛(VSP)所致。全组病例使用654—2药物治疗,结果较好,现报告如下。材料与方法本组男3例,女5例,年龄20～25岁。8例中7例为动脉瘤术后,出现意识障碍及术侧瞳孔散大,对侧偏瘫即颞叶钩回疝病征。发病时间,为术后6小时至9天。另1例系左床突上动脉瘤出血17天,完全性运动性失语,左侧偏瘫11天入院。 CT检查:8例均为一侧大脑半球广泛水
This group of aneurysm in 7 cases after surgery, aneurysm subarachnoid hemorrhage (ASAH) in 1 case, all showed rapid intracranial pressure, confirmed by CT and cerebral angiography, due to cerebral vasospasm (VSP) caused . The whole group of patients using 654-2 drug treatment, the results are better, are as follows. Materials and Methods The group of 3 males and 5 females, aged 20 to 25 years old. Among the 8 cases, 7 cases had aneurysm, which resulted in unconsciousness and diffuse mydriasis. Contralateral hemiplegia was the sign of temporal lobe hernia. The onset time, 6 hours to 9 days after surgery. Another case of Department of left superior subarachnoid hemorrhage 17 days, complete aphasia, left hemiplegia 11 days admission. CT examination: 8 cases were extensive side of the cerebral hemisphere water