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本文报告81例自发性蛛网膜下腔出血的临床资料。81例中动岁以下者占69.1%,内科治疗后存活70例(56。5%),死亡11例(13.弓%),复发死亡率20%(1/5)。作者根据本组资料着重分析临床表现与预后的关系,认为抽描、神经麻痹、精神症状、颅内高压、高热等个别临床症象存在与否对于判断预后无明显的价值,而只有全面地综合观察以上各种因素(包括测定血浆去甲肾上腺素含量),才有助于预后的判断。
This article reports 81 cases of spontaneous subarachnoid hemorrhage clinical data. Eighty-one cases were middle-aged and under-aged accounted for 69.1%, 70 (56.5%) survived after medical treatment, 11 died (13.%) and 20% (1/5) were relapsed. According to the data of this group, the author focuses on the analysis of the relationship between clinical manifestations and prognosis. It is considered that the existence of some clinical symptoms like aspiration, neurological paralysis, psychiatric symptoms, intracranial hypertension and hyperthermia has no obvious value in judging the prognosis, but only comprehensively Observing the above factors (including the determination of plasma norepinephrine content), it will help to determine the prognosis.