高血压性蛛网膜下腔出血.ppt

,*,单击此处编辑母版标题样式,Company Logo,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,高血压性蛛网膜下腔出血,Hypertension,Arteriosclerosis,Aneurysm,Angiorrhexis,Hypertension Subarachnoid Hemorrhage(HSAH),Non-Hypertension Subarachnoid Hemorrhage(NHSAH),43 cases,HSAH 19 cases,NHSAH 24 cases,27 males,16 females,表一 两组病例入院时血压情况,组别,例数,SBP(mmHg),DBP(mmHg),HSAH,19,181.6213.52,96.5010.35,NHSAH,24,129.739.60,80.067.30,两组相比,P0.01,参照值,SBP90,139 mmHg,DBP60,89 mmHg,表二 两组病例入院时主要临床体现比较,组别,例数,意识障碍,头痛,脑膜刺激征,肢体功能障碍及颅神经损害,眼底动脉硬化,眼底出血和,/,或视乳头水肿,HSAH,19,10,14,16,8,18,13,NHSAH,24,5*,23*,22,5,7*,7*,两组相比 *,P,0.05,，*,P,0.01,表三 两组病例临床体现缓解情况比较,组别,例数,2,周后头痛减轻程度,50%,2,周后脑膜刺激征缓解度,50%,1,周后脑脊液新鲜红细胞,10/AP,HSAH,19,8,7,24,NHSAH,24,19*,17*,9*,两组相比 *,P0.05,表四 两组病例并发症及预后比较,组别,例数,上消化道出血,心功能不全,肾功能不全,多脏器功能损害,脑梗死,1,个月内复发率,1,个月内死亡率,致残率,HSAH,19,8,12,7,6,7,5.3%,（,1/19,）,26.3%,（,5/19,）,26.3%,（,5/19,）,NHSAH,24,3*,3*,4,4,2*,33.3%,（,8/24,）,12.5%,（,3/24,）,0,（,0/24,）,两组相比 *,P,0.05,，*,P,0.01,Thank You!,