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[蛛网膜下腔出血的诊断性影像学检查]

[Diagnostic imaging of subarachnoid hemorrhage].

作者信息

Papanagiotou P, Roth C, Körner H, Reith W

机构信息

Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes, Homburg/Saar, Kirrberger Str. 1, 66421 Homburg/Saar, Deutschland.

出版信息

Radiologe. 2011 Feb;51(2):100-5. doi: 10.1007/s00117-010-2049-y.

Abstract

Subarachnoid hemorrhage is characterized by the extravasation of blood into the spaces covering the central nervous system which are filled with cerebrospinal fluid. The leading cause of non-traumatic subarachnoid hemorrhage is rupture of an intracranial aneurysm. Computed tomography (CT) scanning of the head should be the first examination performed in any patient with suspected subarachnoid hemorrhage. The characteristic appearance of extravasated blood is hyperdense. Head CT scanning can also demonstrate intraparenchymal hematomas, hydrocephalus and cerebral edema and can help predict the site of aneurysm rupture.

摘要

蛛网膜下腔出血的特征是血液渗入覆盖中枢神经系统且充满脑脊液的间隙。非创伤性蛛网膜下腔出血的主要原因是颅内动脉瘤破裂。对于任何疑似蛛网膜下腔出血的患者,头部计算机断层扫描(CT)应作为首要检查。渗出血液的典型表现为高密度。头部CT扫描还可显示脑实质内血肿、脑积水和脑水肿,并有助于预测动脉瘤破裂的部位。

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