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蛛网膜下腔出血约占脑血管病的10%左右,是内科、神经科临床上的常见病。多见于青壮年,且具有易于发生二次出血的危险,首次发作死亡率为20%,二次复发死亡率升至50%左右。另外病情严重者易发生脑血管痉挛,从而导致发生一系列神经、精神症状,造成不可逆的神经系统损害。故避免二次出血、防治血管痉挛及其他合并症是治疗本病的关键,本文拟就上述问题作一讨论,供同道参考。现将本病的分级、止血、防止再出血、防治脑血管痉挛,合并症问题等内科疗法分述于下。
Subarachnoid hemorrhage accounts for about 10% of cerebrovascular disease, is a medical, neurology clinical common disease. More common in young adults, and prone to secondary bleeding risk, the first attack mortality was 20%, the second relapse mortality rate rose to about 50%. In addition, severe cases are prone to cerebral vasospasm, resulting in a series of neurological and psychiatric symptoms, resulting in irreversible nervous system damage. Therefore, to avoid secondary bleeding, prevention and treatment of vasospasm and other complications is the key to the treatment of this disease to be discussed in this paper, for fellow reference. Now the grading of this disease, to stop bleeding, to prevent rebleeding, prevention and treatment of cerebral vasospasm, complications and other medical treatment points in the next.