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1976～1981年我院收治蛛网膜下腔出血609例,再发75例。男27例,女48例。再发的年龄以40～50岁为最多,共43例占57％。再发距首次出血的时间,多数在2周以内,共22例占34％。再发的诱因,多因劳动、便后、情绪激动、洗脸、起床穿衣等。以劳动、便后及情绪激动再发为多,共38例占51％。再发均表现为原有的症状和体征增重,如意识障碍加深,头痛、恶心、呕吐或脑膜刺激征增重或出现眼底出血,眼肌麻痹及偏瘫等。75例经腰穿证明有新鲜出血54例(包括死后腰穿和延髓池穿刺4例);在没有检查脑脊液的21例中,再发后出现玻璃体膜下出血11例,动眼神经瘫2例,另8例很据再发当时病情,未怀疑其他
From 1976 to 1981, 609 cases of subarachnoid hemorrhage were admitted to our hospital and 75 cases were recurred. 27 males and 48 females. Recurrence of the age of 40 to 50 years of age, a total of 43 cases accounted for 57%. Re-hair from the first time of bleeding, most within 2 weeks, a total of 22 cases accounted for 34%. Reasons for recurrence, mostly due to labor, then, emotional, wash your face, get dressed and so on. To labor, then post-emotional and emotional re-as much, a total of 38 cases accounted for 51%. Recurrence of the performance of the original symptoms and signs of weight gain, such as deepening of awareness disorders, headache, nausea, vomiting or meningeal irritation or increased retinal hemorrhage, ophthalmoplegia and hemiplegia. 75 cases of lumbar puncture proved fresh bleeding in 54 cases (including post-mortem lumbar puncture and cisterna puncture in 4 cases); in 21 cases without cerebrospinal fluid, there were 11 cases of postoperative recurrence of vitreous hemorrhage, oculomotor nerve paralysis 2 Cases, the other 8 cases according to the recurrence of the disease, no other suspects