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頁籤選單縮合
題 名 | Outcome of Spontaneous Subarachnoid Hemorrhage of Unknown Etiology=不明原因自發性蜘蛛網膜下腔出血的預後 |
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作 者 | 林志隆; 關皓麗; 莊銘泉; 洪純隆; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 14:10 1998.10[民87.10] |
頁 次 | 頁625-632 |
分類號 | 416.291 |
關鍵詞 | 蜘蛛網膜下腔出血; Subarachnoid hemorrhage; Prognosis; |
語 文 | 英文(English) |
中文摘要 | 在七年間我們共收集56位不明原因自發性蜘蛛網膜下腔出血的病人,神經放射學 檢查都無法找出其原因。46位病人存活下來,追蹤期間從10至82個月(平均37個月)。 早期不佳的預後與入院時的昏迷指數與蜘蛛網膜下腔出血在腦部斷層攝影Fisher等級有關。 其他臨床變數如年齡、性別、高血壓、血管痙攣、再出血及水腦症與早期不佳的預後無關。 病人出院的昏迷指數與追蹤的日常生活活動性有關。追蹤的病人只有一位在5年後發生再出 血 ,其再出血發生率為2.2%(每年為0.7%)。本文再證實不明原因自發性蜘蛛網膜下腔出血的 良好預後,我們建議此類病人經完善的腦血管攝影檢查仍然無法找出其原因者,應鼓勵其回到 正常的日常生活。 |
英文摘要 | During a 7-year period, 56 patients with a verified subarachnoid hemorrhage (SAH) in whom neuroradiological investigations failed to reveal a reasonable cause of the bleeding were evaluated.Forty-six patients who survived the SAH were interviewed at a follow-up examination from 10 to 82 months (mean 37 months)after the bleeding. Early prognosis of an unfavorable outcome was possible on the basis of two clinical variables:the poor Glasgow coma scale (GCS <=11)at admission and the Fisher's SAH grade of greater than Ⅱon brain computerized tomographic scans. Other clinical variables in the acute stage, including age,sex,a history of hypertension and the complications of SAH, such as vasospasm, hydrocephalus, and rebleeding, were not related to the early outcome.GCS on discharge was predictive of activity of daily life at follow-up review. On the follow-up,80% of the patients experienced a good recovery. Rebleeding episode occurred in a patient 5 years after the bleeding. The overall rebleeding rate was 2.2% (equivalent to an annual recurrence of 0.7%).This study confirmed a good prognosis for patients with SAH of unknown cause.We recommend that after thorough panagiography,those patients with SAH of unknown etiology should be encouraged to return to a normal life style without any restriction. |
本系統中英文摘要資訊取自各篇刊載內容。