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作者对该院最近20年收治的592例自发性蛛网膜下腔出血(SAH)患者的临床特征和病因进行了分析和探讨.572例SAH患者脑血管造影结果显示,脑动静脉畸形是SAH的最常见病因(395/572例),其次为颅内动脉瘤(98/572例).脑动静脉畸形和颅内动脉瘤患者在脑血管造影后均行血管内栓塞治疗和动脉瘤夹闭术.其中绝大部分患者取得良好效果.因此,作者认为SAH急诊脑血管造影不仅可以迅速明确病因,而且可以采取及时有效的治疗措施,降低SAH的复发率和病死率;急诊脑血管造影的最佳时机在SAH发病后6～72h.
The authors analyzed and discussed the clinical features and causes of 592 patients with spontaneous subarachnoid hemorrhage (SAH) admitted to the hospital in the last 20 years.According to the results of cerebral angiography in 572 SAH patients, cerebral arteriovenous malformations were SAH The most common cause was 395/572 cases, followed by intracranial aneurysms (98/572 cases). Cerebral arteriovenous malformations and intracranial aneurysms were treated with endovascular embolization and aneurysm clipping after cerebral angiography Most of the patients achieved good results, therefore, the authors believe that SAH emergency cerebrovascular angiography can not only quickly clear the cause, but also take timely and effective treatment measures to reduce the recurrence rate and mortality of SAH; emergency cerebral angiography best The timing of onset of SAH 6 ~ 72h.