摘要
目的：研究蛛网膜下腔出血（ＳＡＨ）的数字减影血管造影（ＤＳＡ）和ＣＴ检查的价值。材料与方法：对８０例２４小时内ＣＴ检查为ＳＡＨ无颅内血肿的患者行ＤＳＡ检查。结果：一次ＳＡＨ患者脑动脉瘤３２例，正常２９例，１９例二次ＳＡＨ患者全部为脑动脉瘤，其中１６例再次出血发生在发病后７～１８天。结论：ＣＴ检查提示为ＳＡＨ应做ＤＳＡ检查，在发病后６天内行ＤＳＡ检查最适宜。ＳＡＨ发病２４小时内ＣＴ检查阳性率极高，可避免腰穿。ＣＴ检查ＳＡＨ积血部位可提示动脉瘤的位置。
objective:Study the value of DSA and CT examination for subarchnoid hemorrhage(SAH).Materials and Methods:80 cases,which were showed SAH and no hematoma in CT within 24 hours performed DSA. Results:In patients who suffered SAH only once,32 cases were diagnosed as cerebral aneurysm and 29 cases normal in DSA.While in petients who suffered SAH twice,all 19 cases were diagnosed as cerebral aneurysm.In this group,there were 16 cases whose second hemorrhage occurred 7-18 days after the onset of the disease.Conclusion:SAH patients diagnosed in CT should be performed DSA and the most appropriate time for DSA was within 6 days after the onset of SAH so as to diagnose and operate as soon as possible and decrease the mortality. the CT examination mostly showed positive within 24 hours after the onset of SAH,so it was not necessary to make a lumbar puncture.Besides this,the author also suggested that the hematocele zone could show the position of aneurysm.
出处
《中国临床医学影像杂志》
CAS
1999年第1期26-28,共3页
Journal of China Clinic Medical Imaging
关键词
蛛网膜下腔出血
CT
血管造影术
动脉瘤
subarchnoid hemorrhage tomography,X-ray computed angiography subtraction aneurysm
