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Pakarinen 统计继发于血管病的蛛网膜下腔出血(SAH)死亡率为9.2%,而颅内动脉瘤破裂引起的SAH 很常见。动脉瘤破裂的 SAH 约有50%有渗溢光兆(warning leak)并伴有前兆头痛(sentinel hea-dache),此时在门诊或急诊室,往往由于神经系统检查正常仅给予止痛剂而不收入院,只有再度出血出现神经系统障碍或颈强直时才行腰穿判断是否为SAH。本文目的在于提醒医务人员注意 SAH 第1次大量出血前的早期先兆征候,便于早期诊断。Battrelle等将 SAH 临床表现分为5级。1级:有或无轻度头痛,意识与定向力正常,不伴有运动或感觉障碍;2
Pakarinen statistics of subarachnoid hemorrhage (SAH) mortality secondary to vascular disease was 9.2%, while intracranial aneurysm rupture caused by SAH is very common. Approximately 50% of the SAH ruptured aneurysm has a warning leak accompanied by sentinel hea-dache, which is often not given in the outpatient or emergency room, often given analgesic only because of normal neurological examination Income hospital, only to re-bleeding neurological disorders or neck stiffness to determine whether the waist to wear for SAH. The purpose of this article is to remind medical staff to pay attention to the first large number of bleeding before SAH early warning signs, to facilitate early diagnosis. Battrelle and other SAH clinical performance is divided into five levels. Level 1: with or without mild headache, normal consciousness and orientation, without motor or sensory disturbances; 2