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目的探讨脑血管痉挛的病因、机制及临床特点,为脑血管痉挛(CVS)的正确诊治提供方法。方法回顾性分析出血性卒中继发脑血管痉挛23例。结果①自发性蛛网膜下腔出血是CVS的常见病因,但脑出血所致CVS也是不容忽视的重要因素。②CVS发病机制复杂、临床特点及治疗方法具有多样性。结论详细了解患者神经症状和体征变化的特点,是及时正确诊断和治疗CVS的临床基础,有助于减少和阻止致残、致死的发生。
Objective To investigate the etiology, mechanism and clinical features of cerebral vasospasm and to provide a method for the correct diagnosis and treatment of cerebral vasospasm (CVS). Methods Retrospective analysis of 23 cases of hemorrhagic stroke secondary to cerebral vasospasm. Results ① Spontaneous subarachnoid hemorrhage is a common cause of CVS, but CVS caused by cerebral hemorrhage is also an important factor that can not be ignored. ② CVS pathogenesis is complex, clinical features and treatment methods are diverse. Conclusion Understanding the characteristics of neurological symptoms and signs of patients in detail is the clinical basis for the timely diagnosis and treatment of CVS. It helps to reduce and prevent the occurrence of disability and death.