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目的研究蛛网膜下腔出血(subarachnoid hemorrhage,SAH)的CT表现、分型及临床价值。方法对86例蛛网膜下腔出血患者的CT表现、发病机制、发生部位进行分类分析。结果本组SAH分为自发性SAH29例,外伤性SAH32例,新生儿SAH13例,肿瘤性SAH6例,静脉性SAH6例;CT表现为相应部位的高密度灶,以纵裂池、侧裂池及小脑幕最常见。结论SAH部位不同可形成不同的CT表现,CT检查为该病的首选及必检,且有助于临床治疗方案的选择和预后的判断。
Objective To study the CT findings, classification and clinical value of subarachnoid hemorrhage (SAH). Methods 86 cases of subarachnoid hemorrhage CT findings, pathogenesis, the occurrence of the site classification analysis. Results There were 29 cases of spontaneous SAH, 34 cases of traumatic SAH, 13 cases of neonatal SAH, 6 cases of SAH and 6 cases of venous SAH. CT showed the corresponding sites of high density lesions, with longitudinal fissure pool, lateral fissure and Cerebellum most common. Conclusions The different parts of SAH can form different CT manifestations. CT examination is the first choice and must check the disease, and it is helpful to choose the clinical treatment plan and prognosis.