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目的 探讨蛛网膜下腔出血 (SAH)并发持续性低血压的病因及预后。方法 分析 6例SAH并发持续性低血压的有关临床资料。结果 在 2 74例SAH中有 6例出现持续性低血压 ,占 2 .18% ,其中持续时间 7～ 14天 4例 ,15～ 2 5天 2例 ,6例中有 2例病情加重 ,并有 1例死亡 ,其余 4例预后较好。结论 SAH并发持续性低血压少见 ,其主要原因可能与下丘脑直接或间接损害及低血容量有关。临床上应重视低血压的处理 ,避免继发性脑缺血的发生。
Objective To investigate the etiology and prognosis of subarachnoid hemorrhage (SAH) complicated with persistent hypotension. Methods Six cases of SAH complicated with persistent hypotension related clinical data. Results In 2 74 cases of SAH, 6 cases showed persistent hypotension, accounting for 2.18%, of which 4 cases were in duration of 7 to 14 days, 2 cases were in 15 to 25 days, and 2 of 6 cases were exacerbated and One patient died and the remaining 4 patients had a better prognosis. Conclusions SAH complicated with persistent hypotension is rare, the main reason may be related to direct or indirect hypothalamic damage and hypovolemia. Clinic should pay attention to the treatment of hypotension to avoid the occurrence of secondary cerebral ischemia.