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蛛网膜下腔出血和动脉瘤的计算机断层扫描

Computertomography in subarachnoid haemorrhage and aneurysm.

作者信息

Ladurner G, Schneider G, Auer L M, Gallhofer B, Sager W D, Lechner H

出版信息

Acta Neurochir (Wien). 1982;63(1-4):17-22. doi: 10.1007/BF01728850.

Abstract

50 patients with SAH and an aneurysm were investigated by CT and angiography. In the 59 patients 67 aneurysms were found. The mean interval between SAH and CT was 8 days, between SAH and angiography II days. Blood in the CSF space was visualized up to the 9th day in the patients and 67% of those investigated showed blood in the CSF-space in the CT. In 31% of the patients an aneurysm, in 29% an intracerebral haemorrhage and in 19% a recent infarct was found. A hydrocephalus was seen in 13% of the patients. Of 12 patients with recent infarcts 8 showed vasospasm which correlated in time and location with the infarct.

摘要

对50例患有蛛网膜下腔出血(SAH)且伴有动脉瘤的患者进行了CT和血管造影检查。在这59例患者中,共发现67个动脉瘤。SAH与CT检查之间的平均间隔时间为8天,SAH与血管造影检查之间的平均间隔时间为11天。患者脑脊液间隙中的血液在第9天仍可显影,67%接受检查的患者在CT检查中显示脑脊液间隙中有血液。在31%的患者中发现了动脉瘤,29%的患者发现了脑内出血,19%的患者发现了近期梗死灶。13%的患者出现了脑积水。在12例近期发生梗死的患者中,8例显示有血管痉挛,其在时间和位置上与梗死灶相关。

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