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蛛网膜下腔出血后血管造影性血管痉挛、血肿与缺血性脑损伤之间的相关性。

Correlation between angiographic vasospasm, hematoma, and ischemic brain damage following SAH.

作者信息

Graham D I, Macpherson P, Pitts L H

出版信息

J Neurosurg. 1983 Aug;59(2):223-30. doi: 10.3171/jns.1983.59.2.0223.

DOI:10.3171/jns.1983.59.2.0223
PMID:6864287
Abstract

The correlation between angiographic vasospasm, hematoma, and ischemic brain damage was studied in 29 patients who died as a result of subarachnoid hemorrhage following rupture of a saccular aneurysm. None of these patients was treated surgically. A comprehensive neuropathological examination was undertaken in each case. A significant relationship between the presence and degree of vasospasm and ischemic brain damage was found. Furthermore, even though intracerebral hematoma probably increased the risk of infarction associated with vasospasm, hematoma per se did not increase the incidence of ischemic brain damage.

摘要

对29例因囊状动脉瘤破裂导致蛛网膜下腔出血而死亡的患者,研究了血管造影血管痉挛、血肿与缺血性脑损伤之间的相关性。这些患者均未接受手术治疗。对每例患者均进行了全面的神经病理学检查。发现血管痉挛的存在和程度与缺血性脑损伤之间存在显著关系。此外,尽管脑内血肿可能增加与血管痉挛相关的梗死风险,但血肿本身并未增加缺血性脑损伤的发生率。

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