蛛网膜下腔出血(SAH)易发生再出血、脑血管痉挛、脑积水等并发症,而且出血量越多,存留时间愈长,其程度就越重,致残致死率就愈高。为尽快清除蛛网膜下腔中的血液, 减少并发症的发生,笔者采用等量及不等量脑脊液置换法, 配合椎管内注射激素,治疗原发性SAH 52例取得了满意的临床效果,现报道如下。 Subarachnoid hemorrhage (SAH) prone to rebleeding, cerebral vasospasm, hydrocephalus and other complications, and the more the amount of bleeding, the longer the retention time, the more severe the higher the rate of disability fatal. In order to clear the blood in the subarachnoid space as soon as possible to reduce the occurrence of complications, the author adopted the same amount and different amount of cerebrospinal fluid replacement, with spinal injection of hormones, the treatment of 52 cases of primary SAH achieved satisfactory clinical effect, Report as follows now.