临床神经外科杂志2012，Vol.9Issue(4)：196-198,3.DOI:10.3969/j.issn.1672-7770.2012.04.002
非动脉瘤性自发性蛛网膜下腔出血分析
Clinical study on nonaneurysmal subarachnoid hemorrhage
王斌 1汤天凤 2黄玉杰 1那世杰 1杨咏波 1孙剑涛1
作者信息
- 1. 210008 南京大学医学院附属鼓楼医院神经外科
- 2. 210008 南京大学医学院附属鼓楼医院肾脏科
- 折叠
摘要
Abstract
Objective To investigate the clinical characters of nonaneurysmal subarachnoid hemorrhage and compare perimesencephalic nonaneurysmal subarachnoid hemorrhage (PMN SAH) , nonperimesencephalic nonaneurysmal subarachnoid hemorrhage ( nPMN SAH ). Methods Patients with spontaneous SAH, in whom the initial DSA or CTA result was normal, underwent another investigation( CTA/DSA). If the results of both of these were negative,a second CTA/DSA was done after 3 to 4 weeks. Patients in whom even the second DSA failed to reveal an aneurysm or any other vascular abnormality were labeled as nonaneurysmal SAH. Within this group,2 different types were identified as PMN SAH and n-PMN SAH. Results There were 51 patients in whom the results of the first DSA and CTA were both negative. Of 51 patients, an aneurysm was demonstrated at a second CTA/DSA in 4 patients and 6 died before a second DSA could be done. After excluding these, there were 29 patients with PMN SAH and 12 with nPMN SAH. There was no mortality in these patients with a mean follow-up of 2. 3 years,all patients with PMN SAH and 83. 3% of patients with nPMN SAH had a good outcome. Conclusions The nPMN SAH group have a better clinical course and prognosis than those with aneurismal SAH, but not as good as that in the PMN SAH group. A second DSA is mandatory to avoid missing an aneurysm.关键词
蛛网膜下腔出血/非中脑周围出血/中脑周围出血Key words
subarachnoid hemorrhage/nonperimesencephalic hemorrhage/perimesencephalic分类
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王斌,汤天凤,黄玉杰,那世杰,杨咏波,孙剑涛..非动脉瘤性自发性蛛网膜下腔出血分析[J].临床神经外科杂志,2012,9(4):196-198,3.
