肖利杰,蒋敏

• 1:徐州医学院第二附属医院神经科

摘要(Abstract)：

目的回顾性分析因蛛网膜下腔出血(subarachnoid hemorrhage,SAH)而住院治疗的患者病例资料,研究蛛网膜下腔出血病情严重程度Hunt-Hess分级和急性期并发症与其临床预后之间的关系。方法对321例蛛网膜下腔出血患者入院时Hunt-Hess分级及并发症中的再出血、症状性脑血管痉挛、脑积水、癫发作各项指标分别进行单因素卡方检验及相关分析和多因素Logistic回归分析。结果 Hunt-Hess分级、症状性脑血管痉挛、再出血、脑积水、癫发作组间差别有统计学意义(P<0.05)。结论 Hunt-Hess分级、脑积水、癫发作并非蛛网膜下腔出血临床预后不良的重要独立危险因素,但Hunt-Hess分级、脑积水、癫发作是蛛网膜下腔出血临床预后负相关因素。

关键词(KeyWords)： 蛛网膜下腔出血;Hunt-Hess分级;急性期并发症;预后

Abstract:

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基金项目(Foundation):

作者(Author): 肖利杰,蒋敏

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