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Objective: To describe the survival state and to investigate the risk factors of death in patients with subarachnoid hemorrhage (SAH). Methods: Age, past history, number of cortical regions suffering SAH, laboratory examination parameters, therapeutic measures, complications, and prognosis of 174 patients with SAH were investigated. The survival rates and risk factors of death of the patients with SAH were identified by both Kaplan-Meier survival analysis and Cox proportional risk model. Results: Ten patients were (5.75%) lost to follow-up investigation and 164 patients with SAH completed the follow-up investigation. Sixty-six patients died and the longest follow-up investigation time was 5.64 years. The survival rates of 28 days, 1 year, and 3 to 5 years were 70.60%, 63.40%, and 57.20%, respectively. The treatment with Nimotop, aneurysm surgical occlusion, and aneurysm embolotherapy decreased the death rate of SAH. At the same time, advanced age, smoking, hyponatremia, rising leukocyte count in acute stage, repeated hemorrhage, and cerebral vasospasm were the independent risk factors causing the death of patients. Conclusion: Prognosis of patients with advanced age, rising count leukocyte in acute stage, gastrointestinal bleeding, hyponatremia, repeated hemorrhage, and cerebral vasospasm were unfavorable. The death risk could be reduced if the patients with aneurysm received prompt aneurysm occlusion embolotherapy and Nimotop treatment.
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来源 :
NEUROSURGERY QUARTERLY
ISSN: 1050-6438
年份: 2010
期: 3
卷: 20
页码: 136-141
JCR分区:4
中科院分区:4
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