蛛网膜下腔出血再发的临床研究

目的：探讨蛛网膜下腔出血再发的临床特征及预后。方法：对39例蛛网膜下腔再出血组与68例非再出血组的临床、影像学检查、治疗结果等进行对照分析。结果：再出血组高血压发病率、出现意识障碍、伴有癫痫发作、眼底水肿或出血及脑膜刺激征者较非再出血组多见,两者比较有差异性（P＜0．05）。并发症发生率较非再出血组高（P＜0．01）,死亡率则随发病次数增多而增加。结论：有效降低再出血的发病率及死亡率的关键是尽早明确病因、及时手术和综合性治疗。

A Clinical Study of Recurrent Subarachnoid Hemorrhage

Objectivc: To investigate the clinical characteristics and prognosis of recurrent subarachnoid hemorrhage(SAH). Methods: The clinical characteristics, image and theraputic results of 39 patients with recurrent SAH and 68 patients with non-recurrent SAH were analyzed by comparison. Results: The incidence of hypeitension, disturbance of consciousness, epilepsy, eyeground oedema/hemor rhage and meningismus in the patients with recurrent SAH was higher than those with non-recurrent SAH.There were significant differences between the 2 groups (P<0.05). The incidence of complications in patients with recurrent SAH was higher than those with non-recurrent SAH(P<0.01). And their mortality increased with their pathogenic frequency. Conclusion: The effective reduction of the incidence and ce and mortality of recurrent SAH, what counts is to determine its pathogeny as early as possille, operate at the right time and make combined treatment.