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作者将历年来收集的经血管造影、手术及尸检证实的脑血管畸形(AVM)50例临床表现进行了分析,发病年龄为2～42岁,平均24岁血管畸形部位主要为幕上计38例(76%),余12例(24%)为慕下,其中血管造影45例,于脑血管造影中发现有明显的异常血管团的典型改变为22例,非典型者15例,余8例经手术证实,而造影不显影.发现病史中有出血者42例占84%,以出血为首发症状者36例占72%,与国内其它医院报道相近,其中单纯SAH者为14例占28%,继发SAH者占56%,头痛患者45例占90%,其中10例发生在颅内出血前,其余则随颅内出血出现.颅内出血合并癫病者10例占20%,出血前仅4例占8%,局灶性定位征38例占76%,其中10例为后颅凹症状.颅内血管杂音4例.50例中手术18例死亡4例,恢复良好7例,无改善5例,32例内科治疗6例死亡,14例再出
The authors analyzed the clinical manifestations of 50 cases of cerebrovascular malformations (AVM) confirmed by angiography, surgery and autopsy collected over the years, the age of onset was from 2 to 42 years. The average age of 24-year-old vascular malformations was 38 (76%), while the remaining 12 cases (24%) were mucin. Among them, 45 cases were angiography. Among them, 22 cases showed obvious abnormal vascular groups in cerebral angiography, 15 cases were atypical, Confirmed by surgery, and contrast imaging is not found in the history of bleeding in 42 cases accounted for 84% to bleeding as the first symptom of 36 cases accounted for 72%, and other domestic hospitals reported similar, of which SAH alone 14 cases accounted for 28% , Followed by 56% of SAH, 45 cases of headache accounted for 90%, of which 10 cases occurred before intracranial hemorrhage, the rest with intracranial hemorrhage.Cranial hemorrhage with epilepsy in 10 cases accounted for 20%, only 4 cases before bleeding Accounting for 8%, focal localization of 38 cases accounted for 76%, of which 10 cases of posterior foveal symptoms .4 cases of intracranial vascular murmur .50 cases of surgery in 18 cases died in 4 cases, good recovery in 7 cases, no improvement in 5 cases , 32 cases of medical treatment died in 6 cases, 14 cases again