Clinical analysis of 28 cases of subarachnoid hemorrhage.docVIP

 PAGE \* MERGEFORMAT 7 Clinical analysis of 28 cases of subarachnoid hemorrhage [Keywords:] subarachnoid hemorrhage, recurrent bleeding, diagnosis Subarachnoid hemorrhage (SAH is cerebral aneurysm or cerebral arteriovenous malformation, caused by blood flow directly into the subarachnoid space, also known as spontaneous SAH. The disease is a common neurological disease of high mortality. our hospital in January 2005 ~ October 2008 28 patients were treated, is as follows. Materials and Methods 1. General Information The group of 28 patients, 16 males and 12 females, male to female ratio close to 1.3:1, the youngest 27 years old, maximum 76 years, mean age 56 years, more common 50 to 65 years, of which 21 patients over the age of 60, 60 under the age of 7 cases. pathogenesis of 26 cases admitted to hospital within 1 day, 4 days, 2 patients admitted to hospital, previous hypertension in 17 cases. activities under the incidence of 21 cases, 7 cases of disease under quiet conditions. 2. Symptoms and signs 28 patients with headache, 25 cases (89.3%, vomiting in 23 cases (82.1%, disturbance of consciousness in 12 (42.9%, seizures in 5 cases (17.9%, hemiparesis in 3 cases (10.7%, meningeal irritation-positive in 14 cases (50.0 %, psychiatric symptoms in 3 cases (10.7%, oculomotor nerve palsy in 3 cases (10.7%, reflecting positive pathology in 16 cases (57.1%, the combined stress ulcer occurred in 7 cases (25.0%. 3. Head CT and lumbar puncture All through the CT diagnosis in 5 cases recurrent bleeding during hospitalization, after review of head CT before the films were confirmed rebleeding. For head CT is not need to do lumbar puncture confirmed SAH, but not for the CT can not exclude the clinical diagnosis suspected cases, lumbar puncture to be done to confirm the diagnosis, lumbar puncture and cerebrospinal fluid and more uniform appearance of pink or bloody. 4. Treatment After the onset of absolute bed rest should be 3 weeks to 4 wee