动脉瘤性蛛网膜下腔出血后脑血管痉挛的诊治分析

动脉瘤性蛛网膜下腔出血后脑血管痉挛的诊治分析

幸文利;曾春

【期刊名称】《中国实用神经疾病杂志》 【年(卷),期】2014(000)021

【摘要】Objective To investigate the diagnostic value of cerebral angiography (DSA ) , brain CT and transcranial Doppler (TCD) ,and the curative

effect

of

aneurysm

clipping

or

endovascular

embolization ,continuous lumbar drainage .Meth-ods 61 patients with aneurysmal subarachnoid hemorrhage were divided into the control group (treated with aneurysm clipping or endovascular embolization) and observation group (treated with aneurysm clipping or endovascular embolization plus contin-uous lumbar drainage) .The curative effect and MCA flow velocity ,cerebrospinal fluid pressure and red blood cell count of two groups were compared at 1 ,5 ,10 days after operation .Results The total efficiency of observation group (90 .32% ) was higher than that of control group (76 .67% );the middle cerebral artery blood flow velocity ,cerebrospinal fluid pressure and red blood cell counts of observation group were significantly lower than these of control group 5 ,10 days after operation ,which had sig-nificantly statistical difference .Conclusion DSA ,brain CT scan and TCD can clearly diagnose and evaluate the cerebral vaso-spasm of patients with aneurysmal subarachnoid hemorrhage;the aneurysm clipping or endovascular