迟发性脑血管痉挛的临床特点与治疗

目的：探讨迟发脑血管痉挛的临床治疗效果。方法：回顾性分析我院2006年3月～2010年2月收治入院的迟发性脑血管痉挛患者42例的临床资料。结果：治疗组患者经治疗后1周后症状减轻、2周脑膜刺激征缓解、4周脑脊液正常、1个月后头颅CT正常、再出血及并发症等均优于对照组（P〈0.05,P〈0.01）;另外,SAH并DCVS的主要病因是颅内动脉瘤破裂,与动脉瘤的部位及大小无明显关系,DCVS的发生与年龄、性别无关。结论：基底池中凝血块的存在是产生DCVS的直接原因。尼莫地平治疗迟发性脑血管痉挛的疗效显著。

Clinical features and treatment of delayed cerebral vasospasm

Objective: To explore the efficacy of the clinical treatment for the delayed cerebral vasospasm.Methods: The clinical data of 42 patients with delayed cerebral vasospasm in our hospital from March 2006 to February 2010 were retrospectively analyzed.Results: After treatment,patients were symptom relief after 1 week,2 weeks mitigation of meningeal irritation,4 weeks normal cerebrospinal fluid,after 1 month CT normal,then bleeding and complications in the treatment group were better than those of the control g...