蛛网膜下腔出血伴外侧裂区血肿的诊断与治疗

目的探讨蛛网膜下腔出血伴外侧裂区血肿的诊断与治疗方法,以提高疗效。方法回顾性分析2008年8月—2012年4月在该院住院治疗的33例蛛网膜下腔出血伴外侧裂区血肿患者的临床资料,该组男19例,女14例,年龄39～65岁之间,平均54.3岁,26例行脑血管造影(DSA)或CT脑血管造影(CTA)检查,7例开颅时探查动脉。其中大脑中动脉动脉瘤25例,后交通动脉瘤5例,3例未发现动脉瘤。结果 30例患者动脉瘤夹闭成功,并行血肿清除,3例未发现动脉瘤单纯行血肿清除。结论对蛛网膜下腔出血伴外侧裂区血肿患者应早期行DSA或CTA检查,明确诊断,早期行手术治疗,以提高疗效,改善预后。

The Diagnosis and Treatment of Subarachnoid Hemorrhage Combined with Hematoma of the Lateral Fissure

Objective Explore the diagnosis and treatment of subarachnoid hemorrhage combined with hematoma of the lateral fissure. Methods A retrospective analysis of the clinical data from August 2008 to April 2012 in our hospital. The data composed by 33 patients with the symptom of subarachnoid hemorrhage and lateral fissure hematoma. The data including 19 male cases, 14 female cases, age between 39-65, the average age is 54.3. There are 26 cases of cerebral angiography （DSA） or CT angiography （CTA） examination, 7 cases of eraniotomy exploration artery. 25 patients were diagnosed as cerebral artery aneurysm, 5 others diag- nosed as posterior communicating artery aneurysm, and the last 3 patients with on aneurysm. Results 30 patients were implied with aneurysm clipping and hematoma evacuation surgery successfully. To the three patients with no aneurysm, we simplely im- plied with hematoma evacuation. Condusiorl The case of subarachnoid hemorrhage with lateral fissure hematoma should be in- spect with DSA or CTA in early stage.To improve the efficacy and the prognosis, diagnosis and surgery should be imply in the ear- ly stage.