蛛网膜下腔出血患者症状性脑血管痉挛的预测与研究

目的研究蛛网膜下腔出血患者中症状性脑血管痉挛的预测.方法76例蛛网膜下腔出血患者均行脑血管造影、TCD检查、Fisher量表评分,同时对性别、年龄、吸烟、高血压等因素进行分析,研究上述因素是否可对临床症状性脑血管痉挛进行预测.结果脑血管造影及TCD检查时有脑血管痉挛、Fisher分型Ⅲ型、高龄患者临床脑血管痉挛的发生率显著高于对照组,而性别、吸烟、高血压不是脑血管痉挛的危险因素.结论脑血管造影、TCD检查、Fisher量表可以进对临床症状性脑血管痉挛进行预测.

Forecast of cerebral vasospasm in patients presenting with subarachnoid hemorrhage

Objective To study the forecast of cerebral vasospasm in patients presenting with sub arachnoid hemorrhage. Methods All of the 76 patients with subarachnoid hemorrhage were inspected with DSA, TCD, appraised with Fisher scale, and the sex, age, smoking and hypertension were analyzed, then to see whether studying the above factors can help to forecast cerebral vasospasm in patients presenting with subarachnoid hemorrhage. Results Cerehral vasospasm proved with DSA and TCD, Fisher scale type UI , older patients were risk factors in clinical, while sex, smoking and hypertension were not risk factors of cerebral vasospasm. Conclusions DSA, TCD and Fisher scale were forecast fac tors of cerebral vasospasm in clinical.