55例以颅脑损伤就诊的动脉瘤性蛛网膜下腔出血的诊治经验

目的 探讨以颅脑损伤就诊的动脉瘤性蛛网膜下腔出血的诊治经验.方法 2003年6月至2008年6月期间共收治此类病例55例,根据蛛网膜下腔出血与颅脑损伤的关系将其分为A、B、C三组,分析每组的治疗特点及预后,并进行比较.结果 随访半年,预后采用KPS评分进行判定.A组:90～100分3例,60～80分1例,40～50分1例,10～30分1例,0分1例.B组:90～100分26例,60～80分3例,40～50分3例,10～30分1例,0分1例.C组:90～100分10例,60～80分2例,40～50分2例.结论 对于以颅脑损伤就诊的动脉瘤性蛛网膜下腔出血病例,早发现、早治疗是提高预后的关键.

Aneurysmal subarachnoid hemorrhage presenting with head injury: diagnostic and therapeutic experience in 55 cases

Objective To summarize the diagnostic and therapeutic experience of aneurysmal subarachnoid hemorrhage(SAH)presenting with head injury.Methods Between June 2003 and June 2008,55 cases with aneurysmal SAH presenting with head injury were included in this study.According to the relationship between SAH and head injury.three groups were divided fits follows:A,B,C.By dealing with these patients the diagnostic and therapeutic experience were summarized to obtain proper outcomes.Results The outcomes were assessed according to Kamofsky performance scale and the clinical follow-up period is 6 months.In group A:Three patients were 90～100 scores,1 Was 60～80 scores,1 Was 40～50 scores.1 Was 10～30 scores,1 was 0 score;In group B:26 were 90～100 scores,3 were 60～80 scores,3 were 40～50 scores.1 was 10～30 scores,1 was 0 score;In group C:10 were 90～100 scores,2 were 60～80 scores.2 Was 40～50 scores.Conclusions It is necessary to adequately recognize special aneurysmal subarachnoid hemorrhage presenting with head injury.Early detection and treatment of intracranial aneurysm are critical to obtain good outcomes.