Tabbaa M A, Ramirez-Lassepas M, Snyder B D
Arch Intern Med. 1987 Sep;147(9):1661-2.
Three cases of subarachnoid hemorrhage (SAH) due to ruptured developmental (berry) aneurysm are reported. Two patients presented with cardiac arrest and were successfully resuscitated, but the diagnosis of SAH was delayed and this most likely influenced poor final outcome. The third patient presented with irreversible respiratory arrest. The possible mechanisms responsible for SAH-triggered cardiac arrhythmia and/or respiratory arrest are discussed. Absence of previous cardiac history, persistent headache, focal neurologic findings (especially papilledema or subhyaloid hemorrhages) should warn the clinician of the possibility of SAH and warrant further neurologic investigation.
报告了3例因发育性（囊状）动脉瘤破裂导致的蛛网膜下腔出血（SAH）。两名患者出现心脏骤停并成功复苏，但SAH的诊断延迟，这很可能影响了最终的不良结局。第三名患者出现不可逆的呼吸骤停。讨论了SAH引发心律失常和/或呼吸骤停的可能机制。无前科心脏病史、持续性头痛、局灶性神经系统表现（尤其是视乳头水肿或玻璃体下出血）应提醒临床医生注意SAH的可能性，并进行进一步的神经系统检查。
