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目的 :探讨蛛网膜下腔再出血的诊断、抢救及预后。方法 :回顾性分析 2 3例再出血的诱因、临床表现、治疗及转归 ,综合文献讨论其发生原因及预防。结果 :14d内再出血 2 5例 (88.8% ) ,死亡 14例 (6 0 .8% ) ,8例内科临床治愈(34 .7% ) ,1例手术治愈。表现为头痛加重、痛苦喊叫、意识和呼吸障碍等。结论 :突发头痛加重、昏迷、呼吸异常是再出血的主要临床表现 ,大剂量甘露醇快速静脉输入是抢救的重要措施。
Objective: To investigate the diagnosis, rescue and prognosis of subarachnoid hemorrhage. Methods: The causes, clinical manifestation, treatment and prognosis of 23 cases of rebleeding were retrospectively analyzed. The causes and prevention were discussed in the literature. Results: In 14 days, 25 cases (88.8%) were hemorrhage again, 14 cases died (60.8%), 8 cases were clinically cured (34.7%) and 1 case was cured by surgery. Manifestations of increased headache, pain shouting, awareness and breathing disorders. Conclusion: Sudden headache increased, coma and respiratory abnormalities are the main clinical manifestations of rebleeding. High-dose mannitol intravenous infusion is an important measure to rescue.