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年轻人急性脑血管病多为出血性脑血管病,临床表现为蛛网膜下腔出血或脑出血。现就我院近两年中收治的34例分析报告如下: 临床资料本文34例均系近两年在我院治疗,经头颅CT证实为蛛网膜下腔出血患者,其中14例在他院经脑血管造影证实为脑血管畸型;34例中男性20例,女性14例;年龄最大38岁,最小17岁。动态发病25例,情绪因素9例,头痛32例,呕吐30例,失语8例,偏瘫11例,颅神经受损14例,意识障碍4例,抽搐30例,血性脑脊液30例,存活28例。死亡6例。 34例病人大致可分为四组:第一组共16例,主要表现为头痛,恶心,呕吐,脑膜刺激征,腰穿血性脑脊液,头颅CT证实蛛网膜下腔出血。此组病人为首次发病,住院用止血,降颅压,营养神经等药物治疗2～4周治愈出院。其中有8例出院后曾到他院进一步
Young people with acute cerebrovascular disease mostly hemorrhagic cerebrovascular disease, clinical manifestations of subarachnoid hemorrhage or cerebral hemorrhage. 34 cases were admitted to our hospital in the past two years as follows: Clinical data of 34 cases were in our hospital nearly two years of treatment, confirmed by head CT in patients with subarachnoid hemorrhage, of which 14 cases in his hospital Cerebral angiography confirmed cerebral vascular malformations; 34 cases of 20 males and 14 females; the oldest 38 years old, minimum 17 years old. 25 cases of dynamic disease, emotional factors in 9 cases, headache in 32 cases, 30 cases of vomiting, 8 cases of aphasia, hemiplegia in 11 cases, 14 cases of cranial nerve damage, disturbance of consciousness in 4 cases, convulsions in 30 cases, 30 cases of bloody cerebrospinal fluid, 28 cases of survival . 6 died. 34 patients can be divided into four groups: the first group of 16 cases, mainly manifested as headache, nausea, vomiting, meningeal irritation, lumbar punctual cerebrospinal fluid, head CT confirmed subarachnoid hemorrhage. This group of patients for the first time the disease, hospital bleeding, reducing intracranial pressure, nutritional nerves and other drug treatment 2 to 4 weeks cured. Of these, eight have been to his hospital after discharge and further