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自发性蛛网膜下腔出血1 000例的CT诊断
引用本文:李廷,范宝瑜,赵欣春. 自发性蛛网膜下腔出血1 000例的CT诊断[J]. 中华放射学杂志, 1999, 0(2): 94-96
作者姓名:李廷  范宝瑜  赵欣春
作者单位:天津市武清县第二人民医院放射科,天津市脑系科中心医院CT室,天津市武清县医院CT室
摘    要:
目的对1000例自发性蛛网膜下腔出血(SAH)的CT表现与血管造影进行回顾性对照,对出血部位和病因进行分析。方法全部病例经CT与DSA检查,观察内容是SAH的病因及病变位置。结果1000例自发性蛛网膜下腔出血的病例中,DSA显示有动脉瘤547例,血管畸形289例,动脉硬化161例,其他3例。CT诊断动脉瘤所致出血461例,血管畸形259例,动脉硬化151例。结论CT对SAH定性、定位有一定意义,对于急诊病人的治疗、手术引流及血管造影的选择具有很大的参考价值。

关 键 词:蛛网膜下腔出血 CT 诊断

CT diagnosis of spontaneous subarachnoid Hemorrnage:an analysis of 1 000 cases
LI Ting ,FAN Baoyu,ZHAO Xinchun,et al.. CT diagnosis of spontaneous subarachnoid Hemorrnage:an analysis of 1 000 cases[J]. Chinese Journal of Radiology, 1999, 0(2): 94-96
Authors:LI Ting   FAN Baoyu  ZHAO Xinchun  et al.
Affiliation:LI Ting *,FAN Baoyu,ZHAO Xinchun,et al. *Department of Radiology,the Second Wuqing County Hospital,Tianjin 301700
Abstract:
Objective To investigate on the site and causes of 1 000 cases of spontaneous subarachnoid hemorrhage(SAH) by CT and compared with DSA retrospectively. Methods All patients were examined by CT and DSA, and the etiology and site of lesion were identified. Results The causes of SAH diagnosed by DSA were: cerebral aneurysm 461 cases,vascular malformations 259 and arteriosclerosis 161,other causes 3. Whereas the causes diagnosed by CT were cerebral aneurysm 461,vascular malformations 259,arteriosclerosis 151. Conclusions The results suggested that CT is helpful in identifying the cause and site of spontaneous SAH, and is a useful guide to selection of operative drainage and angiography in emergency.
Keywords:Subarachnoid hemorrhage Tomography   X ray computed
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