Hauerberg J, Eskesen V, Rosenørn J
University Clinics of Neurosurgery, Copenhagen County Hospital, Glostrup, Denmark.
Br J Neurosurg. 1994;8(3):333-9. doi: 10.3109/02688699409029622.
In a prospective study of 1076 consecutive patients with aneurysmal subarachnoid haemorrhage (SAH), CT was carried out in 815 patients. CT visible intracerebral haematoma (ICH) was found in 42.6% of the 815 patients. There were no differences in age, pre-existing hypertension or sex between patients with or without ICH. Patients with ICH were in poorer clinical condition on admission, and had a poorer mental outcome and a higher mortality at the 2-year follow-up examination compared with patients without ICH. Of the 491 operated patients, there were in every group according to the clinical condition on admission fewer patients with a normal mental outcome and more fatal cases if an ICH was present after aneurysm rupture. This indicates that the acute brain dysfunction from SAH complicated by ICH is more likely to be followed by permanent cerebral damage compared to the corresponding acute cerebral dysfunction from SAH without ICH.
在一项对1076例连续性动脉瘤性蛛网膜下腔出血（SAH）患者的前瞻性研究中，815例患者接受了CT检查。在这815例患者中，42.6%发现有CT可见的脑内血肿（ICH）。有或无ICH的患者在年龄、既往高血压或性别方面无差异。与无ICH的患者相比，有ICH的患者入院时临床状况较差，在2年随访检查时精神转归较差且死亡率较高。在491例接受手术的患者中，根据入院时的临床状况分组，动脉瘤破裂后若存在ICH，则每组中精神转归正常的患者较少，死亡病例较多。这表明，与无ICH的SAH相应的急性脑功能障碍相比，SAH并发ICH所致的急性脑功能障碍更有可能导致永久性脑损伤。
