摘要
目的探讨蛛网膜下腔出血（ＳＡＨ）合并硬膜下血肿（ＳＤＨ）的临床特点和机理。方法对１６例经ＣＴ、脑血管造影、手术和１１例尸解证实的颅内动脉瘤破裂致ＳＡＨ合并ＳＤＨ患者进行临床及病理特点分析。结果临床表现意识障碍１２例，玻璃体下出血７例，死亡１３例。导致ＳＡＨ合并ＳＤＨ的原因可能为：（１）动脉瘤破裂，大量血液破入蛛网膜下腔，撕破蛛网膜；（２）伴随的脑内血肿破入蛛网膜下腔并撕破蛛网膜；（３）发病时突发意识丧失、摔倒，致头部外伤。结论颅内动脉瘤致ＳＡＨ可合并ＳＤＨ，其预后不佳，病死率高，ＣＴ阴性者不能完全排除合并ＳＤＨ的可能。
Objective To study the clinical characteristics and pathogenic mechanism of subarachnoid hemorrhage(SAH) complicating subdural hematoma(SDH). Methods 16 cases by CT,cerebral angiography,operation and 11 autopsy that were evaluated as the patients with SAH complicating SDH were carried out clinical and pathological feature analyses.Results 12 cases of unconsciousness and 7 cases of subhyaloid hemorrhages were observed,and 13 cases of death.The causes of SAH complicating SDH may be:(1)After intracranial aneurysm rupture,large amounts of blood flow into subarachnoid space and da mage arachnoid membrane,(2)Accompanying brain parenchymehematoma ruptures into the subarachnoid cavity,and damage arachnoid membrane.(3)At the onset a sudden loss of consciousness ,dropping and caused head injury.Conclusion Aneurysmal SAH might complicate SDH,it had poor prognosis and high mortality.CT negative image could not be excluded the diagnosis of SDH.
出处
《临床神经病学杂志》
CAS
1999年第3期143-145,共3页
Journal of Clinical Neurology
关键词
颅内动脉瘤
蛛网膜下腔出血
硬膜下血肿
病理学
Intracranial aneurysm Subarachnoid hemorrhage Subdural hematoma Pathology Clinical
