Scharfetter F
Neurochirurgie, Kantonsspital St. Gallen.
Schweiz Rundsch Med Prax. 1990 Nov 6;79(45):1355-60.
At first we state here a synopsis of the different kinds and causes of subarachnoid hemorrhage (SA): spontaneous, traumatic, surgical. The most frequent cause of a spontaneous SA is a vascular malformation (an aneurysm or an arterio-venous anomaly). The main part of the paper deals with aneurysm-bleeding: the symptoms and signs, the natural course of the illness, its complications (recurrent hemorrhage, arterial spasm, hydrocephalus) and the diagnostic as well as the therapeutic suggestions. We do not recommend the modern trend of very early operations in the acute state of the hemorrhage except for the few patients with very slight bleeding.
首先,我们在此简述蛛网膜下腔出血(SA)的不同类型及病因:自发性、外伤性、手术性。自发性SA最常见的病因是血管畸形(动脉瘤或动静脉畸形)。本文主要论述动脉瘤出血:症状与体征、疾病的自然病程、并发症(再出血、动脉痉挛、脑积水)以及诊断和治疗建议。除了少数出血非常轻微的患者外,我们不建议在出血急性期进行极早期手术这种现代趋势。