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目的:探讨颅内动脉支架植入术后蛛网膜下腔出血(SAH)的发生原因和处理方法。方法:3例症状性大脑中动脉狭窄患者行支架植入术,术后即刻CT示SAH,立即停用抗凝、抗血小板集聚治疗,给予制动,控制血压和抗血管痉挛等治疗。结果:3例患者分别于术后11、7、10dCT示SAH吸收,恢复抗血小板集聚治疗,随访至今无异常。结论:颅内支架植入术后发生SAH机制复杂,及时有效处理后疗效满意。
Objective: To investigate the causes and treatment of subarachnoid hemorrhage (SAH) after intracranial arterial stent implantation. Methods: Three patients with symptomatic middle cerebral artery stenosis underwent stent implantation. CT was performed immediately after the operation to show SAH. Immediate anticoagulation and antiplatelet therapy were stopped. Brake, blood pressure control and anti-vasospasm were given. Results: Three patients showed SAH absorption at 11, 7, and 10 days postoperatively respectively and recovered antiplatelet aggregation therapy. No abnormalities were observed up to now. Conclusion: The mechanism of SAH after intracranial stenting is complicated and the curative effect is satisfactory after timely and effective treatment.