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[蛛网膜下腔出血的血管造影诊断——160例患者的研究]

[Angiographic diagnosis of subarachnoid hemorrhage--a study of 160 patients].

作者信息

Banzhaf E, Ritter H, Besel R, Pothe H, Mohr K

出版信息

Zentralbl Neurochir. 1980;41(2):117-24.

PMID:7435004
Abstract

Among 1916 cerebral angiographies carried out in the years 1973 to 1977, the examination was made in 160 patients (= 8.4 per cent) after verified subarachnoid haemorrhages. In 107 cases (= 67 per cent) a morphological substrate was secured angiographically. Arterial cerebral aneurisms and arteriovenous angiomas were the most frequent causes of a haemorrhage with an occurrence of 32.5 and 16.3 per cent, respectively. Further causes were: degenerative diseases of the cerebral vessels in 11.9 per cent, intracerebral haematomas in 3.1 per cent, haemorrhages in tumours in 1.9 per cent and stenosis of the aortic isthmus in 1.3 per cent of the cases. In 33 per cent of the cases a morphological substrate could not be ascertained angiographically. Including the authors' own experiences, diagnostic criteria are derived which to a large extent co-determine the decision with regard to an operation including the respective technical procedure.

摘要

在1973年至1977年期间进行的1916次脑血管造影检查中,对160例(占8.4%)经证实的蛛网膜下腔出血患者进行了该项检查。其中107例(占67%)通过血管造影确定了形态学基础。脑动脉瘤和动静脉畸形是出血最常见的原因,发生率分别为32.5%和16.3%。其他原因包括:脑血管退行性疾病占11.9%,脑内血肿占3.1%,肿瘤内出血占1.9%,主动脉峡部狭窄占1.3%。33%的病例通过血管造影无法确定形态学基础。结合作者自身经验,得出了诊断标准,这些标准在很大程度上共同决定了包括具体手术技术在内的手术决策。

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