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1988～1990年作者收治121例经 CT 和脑血管造影证实的蛛网膜下腔出血(SAH),均于发病14h 内入院,当天或次日行动脉瘤根治术,术后第5～10天行脑血管造影,并根据病情多次 CT 扫描。从脑血管造影、临床症状、CT 三方面分析脑血管痉挛。脑血管造影时血管直径比术前缩小75%以下者为阳性;临床症状根据运动障碍、失语、意识水平下降来判定;CT 出现低密度灶时为阳性,最初两周每日测定,血清电解质、血浆渗透压、BUN、肌酐,以后随时测定,
From 1988 to 1990, 121 cases of subarachnoid hemorrhage (SAH) confirmed by CT and cerebral angiography were admitted to the hospital within 14 hours of onset. The patients underwent aneurysm radical surgery on the day or the next day and the 5th to 10th day after operation Cerebral angiography, and according to the condition of multiple CT scans. From cerebral angiography, clinical symptoms, CT three aspects of cerebral vasospasm. Cerebral angiography vessel diameter was 75% less than preoperative reduction were positive; clinical symptoms according to dyskinesia, aphasia, decreased awareness level to determine; CT appeared low density lesions were positive for the first two weeks of daily determination of serum electrolytes, Plasma osmolality, BUN, creatinine, after any determination,