摘要
目的分析自发性蛛网膜下腔出血(SAH)脑血管造影的特点。方法对136例经头颅CT、腰椎穿刺和临床诊断为SAH的患者,进行全脑数字减影血管造影术(DSA)检查,首次造影阴性结果的患者均进行2次DSA检查,对所有造影结果进行分析。结果DSA检查正常者38例(27.9%),阳性者98例(72.1%),阳性患者中颅内动脉瘤72例(73.5%)、颅内血管畸形23例(23.5%)、动脉炎3例;颅内动脉瘤和血管畸形为自发性SAH的主要病因。结论DSA检查是SAH病因诊断最有效的方法,并能为治疗提供可靠解剖形态依据。
Objective To analyse the clinical value of digital subtraction angiography（DSA） in pa tient with spontaneous subarachnoid hemorrhage （SAH）. Methods 136 patients diagnosed as SAH by CT, lumbar puncture and clinical manifestation underwent DSA examination. The patients who had the negative result of DSA for the first time were examined again. Results DSA examination showed negative in 38 cases（27.9%） and positive in 98 cases（72, 1%. Of the positive cases, 72 （73. 5 % ） had intracranial aneurysm, 23 （23.5 % ） had vascular malformation, 3 had arteritis. The major causes of spontaneous subarachnoid hemorrhage were intracranial aneurysm and vascular malformation. Conclusion DSA is a reliable method for detecting the cause of SAH and supplying anatomic information for endovascular embolism therapy and surgery.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2008年第4期274-275,共2页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词
蛛网膜下腔出血
血管造影术
数字减影
颅内动脉瘤
心血管畸形
subarachnoid hemorrhage
angiography, digital subtraction
intracranial aneurysm
car diovascular abnormalities
