自发性脑出血的血管造影诊断及血管内治疗

目的　探讨脑出血的病因及治疗方法 ,为脑出血的诊断和防治提供线索。方法　本组 176例 ,临床诊断为蛛网膜下腔出血或脑出血 ,全部做脑血管造影。 4例脑动脉瘤、6例动静脉畸形病人进行了血管内栓塞治疗。结果　造影诊断脑动脉瘤6 5例 (36 .93% ) ,脑动静脉畸形 34例 (19.32 % ) ,烟雾病 4例 (2 .2 7% ) ,其他 (包括动静脉瘘、海绵窦瘘 ) 5例 (2 .84 % ) ,未见异常的 6 8例 (38.6 4 % )。进行治疗的 4例动脉瘤、6例动静脉畸形病人均达到满意栓塞。结论　脑血管造影是自发性脑出血病因诊断的可靠方法 ,脑动脉瘤和动静脉畸形是本组最常见的出血原因 ,血管内栓塞治疗疗效确切、创伤小。

Vascular angiography diagnosis and interventional treatment of cerebral hemorrhage

Objective To explore the cause,method for diagnosis and treatment of cerebral hemorrhage. Methods One hundred and seventy-six patients diagnosed as cerebral or subarachnoid hemorrhage were observed. There were 112 male and 64 female patients,aged from 16 to 76. All of them the cerebral DSA were performed. Four patients with cerebral aneurysm and 6 with cerebral AVM underwent interventional embolization therapy. Results Sixty-five patients suffered from cerebral aneurysm, 34 AVM,4 moyamoya and 5 other diseases. Sixty-eight did not get any disease. The therapeutic effect of 4 patients with cerebral aneurysm and 6 cerebral AVM underwent interventional embolization therapy and the result was good. Conclusion Cerebral arterial angiography is a reliable diagnosis approach for cerebral hemorrhage. Cerebral aneurysm and cerebral AVM are the most common causes of cerebral hemorrhage in this group of patients. The treatment effect of arterial embolization therapy is reliable and less injury.