蛛网膜下腔出血在我国发病率较高,也是神经内科常见疾病,患者常因再出血导致病情突然加重,死亡率较高。我院2005年6月～2012年10月共收治蛛网膜下腔出血患者281例,发生再出血76例(27.1%),再出血死亡病例58例(76.3%)。现分析及报告如下。临床资料1一般资料:性别与年龄:再出血病例76例,女性40例,男性36例。年龄最小27岁,最大79岁,其中20～29岁2人,30～39岁9人,40～49岁20人,50～59岁24人,60～69岁13人,70～79岁8人。2 Hent-Hess分级:分级Ⅰ-Ⅲ级20例,Ⅳ-Ⅴ级56例。3 Fisher分级及出血部位:所有患者均行头颅CT检查确诊。Fisher分级Ⅰ级0例,Ⅱ级31例,Ⅲ级26例,Ⅳ级19例。CT检查显示其中出血部位多位于鞍上池、环池、外侧裂池、前纵裂池、后纵裂池。伴有脑室积血12例,额叶血肿2例,额底血肿2例,颞底部血肿1例,颞叶血肿1例,小脑半球血肿1例,伴有脑积水6例。4治疗:本报道28 1例病人均给予降颅压、抗纤溶(6-氨基己酸8g/d或止血芳酸0.6g/d或止血环酸0.5g/d)、防治迟发性脑 Subarachnoid hemorrhage in our country a higher incidence, is also a common neurological disease, the patient often leads to sudden bleeding due to re-bleeding, higher mortality. A total of 281 cases of subarachnoid hemorrhage were admitted to our hospital from June 2005 to October 2012, with 76 (27.1%) cases of rebleeding and 58 (76.3%) cases of rebleeding. Now analysis and report as follows. Clinical data 1 General information: gender and age: 76 cases of re-bleeding, 40 women and 36 men. The youngest 27 years old, the largest 79 years old, of which 20 to 29 years 2 people, 30 to 39 years of age 9, 40 to 49 years of age 20, 50 to 59 years old 24 people, 60 to 69 years old 13, 70 to 79 years 8 people. 2 Hent-Hess classification: grade Ⅰ-Ⅲ 20 cases, Ⅳ-Ⅴ 56 cases. 3 Fisher classification and bleeding sites: all patients underwent head CT examination confirmed. Fisher grade Ⅰ 0 cases, Ⅱ grade 31 cases, Ⅲ grade 26 cases, Ⅳ grade 19 cases. CT examination showed that bleeding sites were located in the saddle on the pool, ring pool, lateral fissure, longitudinal fissure pool, after longitudinal fissure pool. There were 12 cases of ventricular hemorrhage, 2 cases of frontal hematoma, 2 cases of forehead hematoma, 1 case of temporal hematoma, 1 case of temporal lobe hematoma, 1 case of cerebellar hemisphere hematoma and 6 cases of hydrocephalus. 4 treatment: The report 28 1 patients were given intracranial pressure, antifibrinolytic (6-aminocaproic acid 8g / d or 0.6g / d stop bleeding acid 0.5g / d), prevention and treatment of delayed brain