摘要
目的探讨自发性蛛网膜下腔出血（SAH）数字减影血管造影（DSA）特点。方法对78例SAH患者进行DSA检查。结果61例SAH患者发现动脉瘤，1例为Moyamoya病。97％的动脉瘤位于前循环，2例动脉瘤位于后循环（椎动脉远端和基底动脉尖部）。后交通动脉瘤多见，其次为前交通动脉、大脑中动脉第一分叉处、大脑前动脉A．段、颈内动脉等。DSA可诱发脑血管痉挛及癫痫样发作。结论DSA可以发现蛛网膜下腔出血病因，了解动脉瘤位置、形态及大小，指导治疗。虽可出现一些并发症，但若能提前采取有效措施可以减少其发生几率。
Objective To investigate the digital tients with subarachnoid hemorrhage （SAH）. Methods subtraction angiography （DSA） features of pa- DSA was done for 78 patients with SAH. Results Aneurysms were found in 61 patients, 1 case had moyamoya disease, 97% of aneurysms located at anterior circulation. Aneurysm located at posterior circulation （ one at the distal of vertebral artery, the other at top of basilar artery） in two cases. Aneurysms were mostly found at posterior communicating artery and in the order of anterior communicating artery, the middle cerebral artery at the first major branch point, anterior cerebral artery （A1 segment, internal carotid artery）. DSA might induce cerebral vasospasm or seizure. Conclusions The cause of SAH can be found through DSA. Moreover, the location, size and shape of aneurysms can be seen to guide treatment. Some complications could be induced, but the incidence can be reduced if effective measure is taken ahead.
出处
《中国实用医刊》
2012年第19期21-22,共2页
Chinese Journal of Practical Medicine
关键词
蛛网膜下腔出血
数字减影血管造影
动脉瘤
Subarachnoid hemorrhage
Digital subtraction angiography（DSA）
Aneurysms
