脑动静脉畸形破裂并发脑内血肿(附16例分析)

<正> 脑动静脉畸形破裂是引起自发性脑内血肿的主要原因之一。如处理不及时,死亡率颇高。我科自1971～1980年收治脑动静脉畸形破裂并发脑内血肿16例(均经血管造影、手术或病检等证实),占同期脑动静脉畸形住院总数的53.3％。临床资料一、性别与年龄:本组16例中,男11例,女5例,男女之比为2.2∶1。年龄12～52岁,以30岁以下者发病率最高(11例)。二、临床表现:全部病例均突然起病,表现为剧烈头痛、呕吐、抽搐及意识障碍等(表1)。

RUPTURE OF CEREBRAL ARTERIOVENOUS MALFORMATION ASSOCIATED WITH INTRACEREBRAL HAEMATOMAS(An Analysis of 16 Cases)

16 cases of ruptured cerebral arteriovenous malformation associated with intracerebral haematomas have been reviewed. It was 53.3% of the total cases of cerebral arteriovenous malformations admitting in our hospital between 1971～1980. In these cases, 11 were males and 5 were females, with a male: female ratio of 2.2:1. The most frequent sites of the malformation were on frontoparietal (15 cases), and only one was on infratentorial.13 patients have small malformations(under 2 cm). In this series, 8 patients have a good recovery, 4 improved, and 4 died. The problems of diagnosis and surgical treatment for ruptured cerebral arteriovenous malformation associated with intracerebral haematomas were discussed. The generally good porognosis depeends on early diagnosis and suitable surgery.