| 首次全脑血管造影阴性的蛛网膜下腔出血患者病因分析及诊疗策略 |
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| 引用本文： | 耿尚勇. 首次全脑血管造影阴性的蛛网膜下腔出血患者病因分析及诊疗策略[J]. 神经损伤与功能重建, 2010, 5(2): 107-109 |
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| 作者姓名： | 耿尚勇 |
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| 作者单位： | 包头市中心医院神经科,内蒙古,包头,014040 |
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| 摘 要： | 目的:对首次全脑血管造影(DSA)阴性的蛛网膜下腔出血(SAH)患者进行病因分析及制定诊疗策略。方法:回顾性分析28例首次全脑DSA阴性的SAH患者的临床及影像学资料。结果:临床表现为头痛27例,呕吐24例,一过性意识障碍2例,局灶性神经功能障碍2例,癫发作1例,脑膜刺激征28例,并发脑血管痉挛8例,慢性支气管炎急性发作2例,吸入性肺炎1例;所有患者于发病2～7d内行首次DSA检查,结果均为阴性;发病14～23d后全部复查DSA,1例为前交通动脉瘤,27例仍未发现动脉瘤,1例头颅MRI提示海绵状血管瘤。结论:首次全脑DSA检查阴性的SAH患者的主要病因有中脑周围非动脉瘤性蛛网膜下腔出血(PNSH)、隐匿型脑血管畸形和高血压动脉粥样化微动脉瘤,分别有不同诊疗策略,大多数患者经保守治疗预后良好。
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| 关 键 词： | 蛛网膜下腔出血 DSA 阴性 病因 诊疗策略 |
Etiological Analysis and Treatment of Patients of Subarachoid Hemerrhage with Initial Normal DSA |
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| GENG Shang-yong. Etiological Analysis and Treatment of Patients of Subarachoid Hemerrhage with Initial Normal DSA[J]. Neural Injury and Functional Reconstruction, 2010, 5(2): 107-109 |
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| Authors: | GENG Shang-yong |
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| Affiliation: | GENG Shang-yong. Department of Neurology,Baotou Central Hospital,Neimenggu 014040,China |
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| Abstract: | Objective:To analysis the etiology of patients having subarachoid hemorrhage with initial normal DSA and discuss the treatment strategies. Methods:Clinical data of 28 cases of subarachoid hemorrhage with initial normal DSA were analyzed retrospectively. Result:The clinical manifestations were headache (27 cases),vomiting (24 cases),transient unconscious (2 cases),focal dysfunction (2 cases),neck-stiffness (28 cases),cerebral vasospasm (8 cases),chronic obstructive pulmonary disease acute attack (2 cases),an... |
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| Keywords: | subarachoid hemerrhage DSA negative etiology diagnostic and therapeutic strategies |
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