论文部分内容阅读
我们据1978年第二届全国神经精神科学会提出的蛛网膜下腔出血(SAH)的诊断标准,对近年确诊住院的40例SAH患者(急性期或恢复期)进行了颈动脉直接穿刺检查,其中一侧31例,双侧9例,复检3例。为进一步明确病因,我们还加做了同位素脑扫描1例,脑室造影3例,手术治疗或探查13例。出院时诊断颅内动脉瘤(先天性)9例(22.5%)、脑血管畸形6例(15%)、烟雾病2例(5%)、高血压与动脉硬化1例(2.5%)、脑占位性病变7例(17.5%)及原因不明15例(37.5%)。全组复发9例(22.5%)、死亡5例(12.5%)。完全痊愈21例(52.5%)、遗留部分神经精神症状或体征14例(35%)。除脑脊液和脑膜刺激征外,
According to the diagnostic criteria of subarachnoid hemorrhage (SAH) raised by the Second National Neuropsychiatric Association in 1978, we conducted direct carotid biopsy of 40 SAH patients (acute phase or convalescent phase) admitted to hospital in recent years. One side of 31 cases, bilateral in 9 cases, re-examination in 3 cases. To further clarify the cause, we also did an isotope brain scan in 1 case, 3 cases of ventriculography, surgery or exploration in 13 cases. 9 cases (22.5%) of cerebral aneurysms (congenital), 6 cases of cerebrovascular malformations (15%), 2 cases of moyamoya disease (5%), 1 case of hypertension and atherosclerosis (2.5% Seven cases (17.5%) of space-occupying lesions and 15 cases (37.5%) of unknown causes. The whole group recurred in 9 cases (22.5%) and died in 5 cases (12.5%). Complete recovery in 21 cases (52.5%), left some neuropsychiatric symptoms or signs in 14 cases (35%). In addition to cerebrospinal fluid and meningeal irritation,