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我院6年来收治609例SAH,160例并发了偏瘫占23.3％,139例(86.9％)偏瘫出现在发病后一周以内,不全瘫131例占81.1％,160例中40例死亡,病死率为25％;不伴偏瘫的SAH449例,死亡64例,病死率为12％,两者有明显差别。存活的120例中偏瘫于病后6周以内完全恢复者63例,部分恢复39例共102例占85％。本文结合本组病例探讨了SAH并发偏瘫的机制,并对SAH继发的脑血管痉挛的诊断和治疗提出了初步意见。
Sixty-six patients admitted to our hospital for 609 cases of SAH, 160 cases complicated by hemiplegia accounted for 23.3%, 139 cases (86.9%) hemiplegia occurred within a week after onset, 131 cases of incomplete paralysis accounted for 81.1%, 160 cases of 40 deaths, mortality was 25%; SAH449 cases without hemiplegia, 64 cases died, the case fatality rate was 12%, there is a clear difference between the two. Of the 120 surviving patients, hemiplegia completely recovered within 6 weeks after the illness, 63 cases were partially recovered, 39 cases were 102 cases, accounting for 85%. This article combined with this group of patients to explore the mechanism of SAH complicated with hemiplegia, and SAH secondary to the diagnosis and treatment of cerebral vasospasm put forward preliminary views.