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病因不明的蛛网膜下腔出血。51例临床及影像学研究。

Subarachnoid haemorrhage of unknown aetiology. A clinical and radiological study of 51 cases.

作者信息

Hayward R D

出版信息

J Neurol Neurosurg Psychiatry. 1977 Sep;40(9):926-31. doi: 10.1136/jnnp.40.9.926.

Abstract

A detailed clinical and radiological study of 51 patients presenting with a subarachnoid haemorrhage, for which no cause could be found, has been described. Although selection for full investigation has favoured the inclusion of younger and fitter patients, analysis of the information obtained suggests that haemorrhage could be due to: (a) aneurysms undergoing thrombosis at the time of haemorrhage, in which subsequent recanalisation will produce a low incidence of further bleeding; (b) minute (2 mm) aneurysms, destroyed at the time of haemorrhage and posing no subsequent threat.

摘要

对51例蛛网膜下腔出血患者进行了详细的临床和放射学研究,这些患者的病因无法查明。尽管全面检查的入选标准倾向于纳入更年轻、身体状况更好的患者,但对所获信息的分析表明,出血可能是由于:(a) 出血时正在形成血栓的动脉瘤,随后再通将导致再次出血的发生率较低;(b) 微小(2毫米)动脉瘤,在出血时已被破坏,不会构成后续威胁。

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