Lebedev V V, Kholodov S A, Platonova T K, Shelkovskiĭ V N, Krylov V V
Zh Nevropatol Psikhiatr Im S S Korsakova. 1986;86(9):1281-4.
In a series of 61 patients the authors studied the effect of some risk factors on the development of recurrences of haemorrhage from arterial aneurysms of cerebral vessels in the acute period of their rupture. The highest risk of recurrences was associated with an elevated fibrinolytic activity of the cerebrospinal fluid, spasm of the cerebral vessels, aneurysms of the anterior connective and internal carotid arteries as well as the patients' grave condition. Consideration of these factors makes it possible to specify the indications for surgical or conservative treatment. Antifibrinolytic therapy conducted in 5 patients with elevated fibrinolytic activity of the spinal fluid elicited good response.
在一组61例患者中，作者研究了一些危险因素对脑血管动脉瘤破裂急性期出血复发的影响。复发风险最高与脑脊液纤维蛋白溶解活性升高、脑血管痉挛、前交通动脉和颈内动脉瘤以及患者的严重病情有关。考虑这些因素有助于明确手术或保守治疗的指征。对5例脑脊液纤维蛋白溶解活性升高的患者进行抗纤维蛋白溶解治疗取得了良好效果。
