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颅内动脉瘤所致自发性蛛网膜下腔出血的脑血管造影术

Cerebral panangiography in spontaneous subarachnoid hemorrhage from intracranial aneurysms.

作者信息

Nakstad P, Nornes H, Hauge H N, Kjartansson O

机构信息

Department of Radiology, Rikshospitalet, University of Oslo, Norway.

出版信息

Acta Radiol. 1988 Nov-Dec;29(6):633-6.

PMID:3190940
Abstract

Cerebral panangiography was performed in 594 patients with subarachnoid hemorrhage from intracranial aneurysms. Aneurysm of the middle cerebral arteries was the most frequent location of aneurysms in this material. Multiple aneurysms of the middle cerebral arteries are far more frequent than the combination of other locations. Judged from this material there is a 7 per cent possibility of finding a contralateral aneurysm of the middle cerebral arteries if one is found. Multiple aneurysms were found in 51 (8.6%) of the 594 patients. We conclude that the results of this study are typical for Norwegians, although some selection exists since the patients were first admitted to other hospitals. The frequency of complications with cerebral panangiography in subarachnoid hemorrhage was less than that of cerebral angiography in patients with other diseases.

摘要

对594例颅内动脉瘤蛛网膜下腔出血患者进行了全脑动脉造影。大脑中动脉动脉瘤是该组病例中最常见的动脉瘤部位。大脑中动脉多发动脉瘤远比其他部位组合的情况更为常见。根据该组病例判断,如果发现一个大脑中动脉动脉瘤,那么发现对侧大脑中动脉动脉瘤的可能性为7%。594例患者中有51例(8.6%)发现多发动脉瘤。我们得出结论,尽管由于患者最初是在其他医院就诊存在一定的选择偏倚,但本研究结果对挪威人具有代表性。蛛网膜下腔出血患者全脑动脉造影的并发症发生率低于其他疾病患者脑血管造影的并发症发生率。

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