589
ng Giang
.
Khoa
SUMMARY
To study 78 subarachnoid haemorrhage patients who were treated at the neurology department
of Thanh Nhan hospital from July, 2008 toJune, 2009. Subarachnoid haemorrhage make up 4,5%
of total stroke cases. There are some clinical characteristic of subarachnoid haemorrhage: 100%
meningeal syndrome 52,6% consciousness disorder, 41% sphincter disorder, 39,7% hypertension
34,6% hemiplegia, 33,3% cranial nerve paralyses, 14,1% sensation disorder.
12,8 % convulsion . In cranial-cerebral CT scanner imaging and MS CT imaging: the rate
of typical image of subarachnoid haemorrhage is 85,9%, about 85,2% arterial aneurism, 3,7%
arteriovenous malformation ( AVM). The rate of none disorder blood vessel in MSCT imaging
is 11,1%. There are 82,1% subarachnoid haemorrhage patient treated by internal medicine
method, among them 22 patient died (mortality rate is 28,2%). There are 12,8 % patient treated
by endovascular coiling and 5,1 % were surgical treatment.
Keywords: subarachnoid haemorrhag.
1.
590
Thanh Nhàn.
2.1.1.
2.1.2.
2.1.3.
-
-
Theo ph
.
n
%
NMN
1369
78,9
XHN
287
16,6
CMDN
78
4,5
1734
100
78,9%
.
n
%
39
50,0
Nôn
4
5,1
34
43,6
1
1,3
78
100
.
.
n
% (n=78)
41
52,6
màng não
78
100
26
33,3
27
34,6
11
14,1
32
41,0
10
12,8
31
39,7
591
.
n
% (n=78)
CCLVTN
78
100 %
MSCT
27
34,6%
100%
.
n
%
0
0
67
85,9
1
1,3
0
0
10
12,8
78
100
1 BN
.
n
%
3
11,1
23
85,2
1
3,7
0
0
0
0
27
100
t: ,
, 3 BN
.
n
%
Nam
49
62,8
29
37,2
78
100
()
.
n
%
<20
3
3,8
20- 39
21
26,9
40- 59
37
47,4
60- 79
12
15,4
> 80
5
6,5
78
100
- -
26,9%.
B.
%
42
22
64
82,1
10
0
10
12,8
Ph
4
0
4
5,1
56
22
78
100
592
ch máu não
(h nhân TBMMN có 1369
6,
c
là NMN.
3.
M
3.
593
.
3.
nhâ
Theo L
3.
3.
594
5.
5.2. M
phìn
5.
--
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