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动脉瘤性蛛网膜下腔出血后慢性脑积水
引用本文:霍钢,唐文渊,李九州. 动脉瘤性蛛网膜下腔出血后慢性脑积水[J]. 重庆医科大学学报, 2005, 30(6): 890-891,898
作者姓名:霍钢  唐文渊  李九州
作者单位:重庆医科大学附属第一医院神经外科,重庆,400016;重庆医科大学附属第一医院神经外科,重庆,400016;重庆医科大学附属第一医院神经外科,重庆,400016
摘    要:
目的:探讨动脉瘤性蛛网膜下腔出血(aSAH)后慢性脑积水的易患因素.方法:回顾分析处理32例手术治疗的aSAH后慢性脑积水的临床资料.结果:慢胜脑积水的发生率在年龄大于60岁和小于60岁患者之间、Hunt-HessⅢ~Ⅴ级和Ⅰ~Ⅱ级之间、后循环动脉瘤和前交通动脉瘤与其他部位动脉瘤之间、出血次数在两次以上与一次之间、有脑室积血与无脑室积血之间,前者均明显高于后者(P<0.05).结论:年龄大于60岁,Hunt-HessⅢ~Ⅴ级,后循环动脉瘤和前交通动脉瘤,两次以上出血和有脑室积血是aSAH后慢性脑积水的易患因素.

关 键 词:动脉瘤  蛛网膜下腔出血  脑积水
文章编号:0253-3626(2005)06-0890-02
收稿时间:2005-05-08
修稿时间:2005-05-08

Chronic hydrocephalus following aneurysmal subarachnoid hemorrhage
HUO gang, et al. Chronic hydrocephalus following aneurysmal subarachnoid hemorrhage[J]. Journal of Chongqing Medical University, 2005, 30(6): 890-891,898
Authors:HUO gang   et al
Affiliation:Department of Neurosurgery, the First Affiliated hospital, Chongqing Medical University
Abstract:
Objective: To study predictive factors of chronic hydrocephalus among patients with aneurysmal subarachnoid hemorrhage. Methods;Thirty two patients with aneurysmal subarachnoid hemorrhage were retrospectively studied. Results;The morbidities of chronic hydrocephalus between patients were more than 60 years old and less than 60 years old, Hunt-Hess grade III - V and I -II , posterior circulation aneurisms and anterior communicating artery aneurisms and the other aneurisms, time of bleeding were significantly different statistically ( P < 0.05). Conclusion; Patients were more than 60 years old, Hunt-Hess grade III - V , posterior circulation aneurisms and anterior communicating artery aneurisms, time of bleeding was more than two and ventricular bleeding were risk factors of chronic hydrocephalus.
Keywords:Aneurism    SAH    Hydrocephalus
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