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本文报道并分析了85例蛛网膜下腔出血患者的临床资料和随访结果。随访时间为4个月～6年,平均为4年零10个半月。随访发现仅4例于出院2午后死亡,其病死率为4.7％,说明本病远期预后较好。随访复发出血率为18.8％,比其住院再出血率(12.9％)稍高,随访复发出血93.7％为第二次出血,并多在出院1年以后发生。2例手术治疗者均无复发和死亡,说明本病急性期及时进行手术治疗是预防复发出血,降低病死率的根本措施。
This article reports and analyzes the clinical data of 85 patients with subarachnoid hemorrhage and follow-up results. Follow-up time was 4 months to 6 years, an average of 4 years and 10 months and a half months. Follow-up found that only 4 cases died after 2 days of discharge, the case fatality rate was 4.7%, indicating that the long-term prognosis of this disease is better. Follow-up rate of recurrent hemorrhage was 18.8%, slightly higher than the rate of hospitalized rebleeding (12.9%). Follow-up recurred bleeding of 93.7% for the second bleeding and mostly occurred after 1 year of discharge. No recurrence and death were found in 2 cases of surgical treatment, indicating that timely treatment of the acute stage of surgical treatment is to prevent recurrence of bleeding and reduce the mortality of the fundamental measures.