颅内动脉瘤的症状表现.pdfVIP

张永力 刘方军 【关键词】脑动脉瘤症状；脑出血；头疼；呕吐；诱因； Before aneurysm rupture bleeding, 90% of the patients had no obvious signs and symptoms, often a further development of aneurysm volume expansion. Oculomotor nerve paralysis is traffic artery aneurysm after most positioning aura are broken. After aneurysm rupture bleeding, bleeding place by a blood clot solidification contraction and vasospasm and reach the purpose of hemostasis, and promoting effect of cerebrospinal fluid, break to stop the bleeding. In 1 ~ 2 weeks after the hemorrhage, rupture in the web of fragile, a blood clot is liquefied, because the mouth of the arterial wall rupture fibrosis is not strong, so prone to bleeding again. 脑血管病友之家：QQ 群：249934975 脑血管疾病病友交流的平台; 动脉瘤在破裂出血之前，90%的病人没有明显的症状和体征，常常进一步发展，出现动 脉瘤体积扩大。动眼神经麻痹是后交通动脉的动脉瘤最有定位意义的先兆破裂症状。动脉 瘤破裂出血后，出血处由血凝块凝固以及血管痉挛收缩而达到止血的目的，加之脑脊液的 促进作用，破裂处停止出血。在出血后1～2 周，破裂处的纤维网脆弱、血凝块发生液化， 由于此时动脉壁破裂口的纤维化尚不牢固，故容易发生再次出血。 Some patients often have obvious cause, in front of the aneurysm rupture, such as heavy manual labor, cough, forcibly defecate, running, drunk, emotional, anxiety, sex, etc. In more cases, the bleeding is when there is no obvious cause sudden, even during sleep. Most patients sudden onset, usually with headache and disturbance of consciousness as the most common and most outstanding performance. 北京三博脑血管病专家张永力 部分病人在动脉瘤破裂前常有明显的诱因，如重体力劳动、咳嗽、用力大便、奔跑、 酒后、情绪激动、忧虑、性生活等。在更多的情况下，出血是在没有明显诱因时突然发生 的，甚至发生在睡眠中。多数病人突然发病，通常以头痛和意识障碍为最常见和最突出的 表现。 Compression symptoms: cerebral aneurysms because of different parts and corresponding compression symptoms. Tumors had increased after can appear have a headache, is located in the lateral orbital, a pulsatile; May also appear ill side exophthalmos, drooping eyelids, eye limited outreach, hemiparesis, and motor aphasia, mental disorders, diabetes insipidus, seizures and nasal bleeding, etc. 压迫症状:脑动脉瘤因为不同的部位而产生相应的压迫症状。瘤体增大后可出现头痛， 位于病侧眼眶，呈搏动性;亦可出现病侧眼球突出、眼睑下垂、眼球外展受限、轻偏瘫、运 动性失语、精