作者报告了1990年9月～1992年12月间入院手术治疗的Hunt分类为Ⅳ级的动脉瘤患者48例,其中出现脑血管痉挛并用大剂量激素治疗者21例,占43.8％。 脑血管痉挛的诊断是依据Kassel等的定义,即Hunt分类Ⅰ～Ⅱ的病人根据其意识障碍及肢体瘫痪程度分为轻、中、重三级,Ⅲ～Ⅳ级的病人根据各 The authors reported 48 patients with Hunt classification of grade IV aneurysms admitted to hospital from September 1990 to December 1992, of whom 21 (43.8%) had cerebral vasospasm and received high-dose hormone therapy. The diagnosis of cerebral vasospasm is based on the definition of Kassel et al. That is, patients with Hunt classification I ~ II are divided into mild, moderate and severe grade III according to their degree of disturbance of consciousness and limb paralysis,