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蛛网膜下腔出血的计算机断层扫描:血管造影显示有动脉瘤与无动脉瘤患者之间的差异。

Computerized tomography in subarachnoid hemorrhage: difference between patients with and without an aneurysm on angiography.

作者信息

van Gijn J, van Dongen K J

出版信息

Neurology. 1980 May;30(5):538-9. doi: 10.1212/wnl.30.5.538.

DOI:10.1212/wnl.30.5.538
PMID:7189259
Abstract

Fifty patients with spontaneous subarachnoid hemorrhage were investigated by both computerized tomography (CT), within 5 days of onset, and complete cerebral angiography. CT showed blood in the basal cisterns in 38 of the 42 patients with a demonstrable aneurysm, but in only 1 of 8 patients with a negative angiogram (p less than 0.001). This means that: (1) blood in the basal cisterns on CT almost certainly indicates a ruptured aneurysm, and (2) unexplained subarachnoid hemorrhages are unlikely to be caused by occult basal aneurysms.

摘要

对50例自发性蛛网膜下腔出血患者在发病5天内进行了计算机断层扫描(CT)及全脑血管造影检查。在42例证实有动脉瘤的患者中,38例CT显示基底池内有血液,而在8例血管造影阴性的患者中只有1例CT显示基底池内有血液(P<0.001)。这意味着:(1)CT显示基底池内有血液几乎可以肯定提示动脉瘤破裂;(2)不明原因的蛛网膜下腔出血不太可能由隐匿性基底动脉瘤引起。

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Computerized tomography in subarachnoid hemorrhage: difference between patients with and without an aneurysm on angiography.蛛网膜下腔出血的计算机断层扫描:血管造影显示有动脉瘤与无动脉瘤患者之间的差异。
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