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蛛网膜下腔出血时的脑血管痉挛是临床上一个比较常见的严重情况,如不能及时发现和妥善处理,可因脑水肿脑疝而死亡。近年来已被重视,研究进展也比较快,本文从发生因素、发病机理、临床经过、实验室检查和治疗等方面综述如下。发生因素蛛网膜下腔出血(SAH)后脑血管痉挛的发生率各家报告不一,斋藤勇报告为49%,石井昌三等报告为51%,有的文献谈到2周内急性期为50～70%,都留美都雄等综述为40～80%,斋藤勇讨论了下列因素与发生脑血管痉挛的关系:
Cerebral vasospasm during subarachnoid hemorrhage is a relatively serious clinical condition. If it can not be found and properly treated, it may die due to cerebral edema and hernia. In recent years, attention has been paid to the research progress is also faster, this article from the occurrence factors, pathogenesis, clinical experience, laboratory examination and treatment are summarized below. Incidence of subarachnoid hemorrhage (SAH) after the incidence of cerebral vasospasm different reports, Saito Yong reported 49%, Ishii third reported as 51%, some literature about the acute period of 50% within 2 weeks ~ 70%, both are the United States are male and other reviews for the 40 ~ 80%, Saito Taku discusses the following factors and the occurrence of cerebral vasospasm: