郭堂军;施恒亮;张桐;解哨;

• 1:徐州医科大学附属医院

摘要(Abstract)：

目的分析动脉瘤破裂致自发性蛛网膜下腔出血患者继发脑积水的危险因素,探讨其临床症状、治疗方法及预后。方法选取徐州医科大学附属医院神经外科2017-01—2019-12入院的动脉瘤破裂性蛛网膜下腔出血患者153例,对其中继发脑积水的38例患者临床资料进行回顾性分析,探讨其继发脑积水的危险因素。结果可能影响动脉瘤破裂性蛛网膜下腔出血患者继发脑积水的危险因素主要有Fisher分级、Hunt-Hess分级、动脉瘤出血部位、出血次数、术中引流方式等。38例患者通过分别实施脑室钻孔外引流、脑室腹腔分流术等治疗,经格拉斯哥预后评分(GOS):痊愈良好20例,轻度残疾13例,重度残疾3例,植物生存2例。结论对于动脉瘤性蛛网膜下腔出血,外科夹闭术中适当地引流、及时地清除积血、术后持续的脑脊液引流有利于降低术后继发脑积水的风险,提高临床治疗效果及患者生存质量。

关键词(KeyWords)： 自发性蛛网膜下腔出血;脑积水;危险因素;动脉瘤;GOS预后评分

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金面上项目(编号:81874081)

作者(Author): 郭堂军;施恒亮;张桐;解哨;

Email:

DOI:

参考文献(References)：

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