蛛网膜下腔出血的临床表现与诊疗.pptVIP

辅助检查－CTA和MRA 急性期不能耐受DSA检查的患者 有动脉瘤家族史 有动脉瘤破裂先兆者的筛查、动脉瘤患者的随防 aneurysms 5 mm, the sensitivity is 85-95% 5 mm drops to 56%. 72 year-old man complaining of sudden onset of “worse headache of his life.” Noncontrast CT (A) demonstrates subarachnoid hemorrhage (arrows). 3-D reconstruction image (B) from a CT angiogram demonstrates an aneurysm (arrow) from the anterior communicating artery as the cause of the bleed. TCD TCD: 动态检测颅内主要动脉流速，是及时发现CVS倾向和痉挛程度的最灵敏的方法，当TCD检查示Vm150cm/s，提示脑血管痉挛 辅助检查建议 Laboratory Studies For Subarachnoid Hemorrhage Why ECG ? Subendocardial ischemia may res