动脉瘤性蛛网膜下腔出血后迟发性脑缺血临床观察
Chinese Journal of Clinical Rational Drug Use(2012)
Abstract
目的探讨动脉瘤性蛛网膜下腔出血后迟发性脑缺血(DIC)的临床特点。方法将动脉瘤性蛛网膜下腔出血患者153例随机分为DCI组32例和未发生DCI组121例。对比2组性别、发病年龄、发病时有无意识丧失、入院时Hunt-Hess评分、Fisher评分、脑室外引流率及动脉瘤处理情况。结果 DCI组女性、发病时意识丧失、Hunt-Hess 4~5级、Fisher 3~4级及需脑室外引流患者所占比例均高于未发生DCI组,差异均有统计学意义(P<0.05)。结论女性、发病时症状重、CT示蛛网膜下腔出血较多者易发生DCI。
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