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蛛网膜下腔出血后血管痉挛所致脑梗死的CT表现与后续发展的相关性

Correlation between CT findings and subsequent development of cerebral infarction due to vasospasm in subarachnoid haemorrhage.

作者信息

Suzuki J, Komatsu S, Sato T, Sakurai Y

出版信息

Acta Neurochir (Wien). 1980;55(1-2):63-70. doi: 10.1007/BF01808921.

Abstract

We have studied the correlations between computed tomograms (CT), clinical severity at the time of onset, and subsequent development of cerebral infarction due to vasospasm in 32 cases with subarachnoid haemorrhage secondary to rupture of cerebral aneurysms. It was found that the clinical severity could be judged by CT as shown by the amount of blood in subarachnoid space. Furthermore, it was possible to predict the subsequent occurrence of cerebral infarction by sequential findings of CT. A Hounsfield number of the high density area over 60 showed good correlation with the development of cerebral infarction.

摘要

我们研究了32例因脑动脉瘤破裂继发蛛网膜下腔出血患者的计算机断层扫描(CT)、发病时的临床严重程度与随后因血管痉挛导致脑梗死之间的相关性。结果发现,临床严重程度可通过CT判断,蛛网膜下腔出血量可反映这一点。此外,通过CT的连续检查结果可以预测随后脑梗死的发生。高密度区域的亨氏单位超过60与脑梗死的发生有良好的相关性。

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