自发性蜘蛛膜下腔出血在国外文献中报告很多。Helpern及Rabson氏統計2030例暴死病例,其中4.7％为本病所致,为壮年及中年人死亡常見的原因。国内文献报告较少,有薛启蓂的46例及罗忠悃的39例等报告。天津医科大学附属医院脑系科自1954年7月至1959年6月的五年间,共收治本病患者100例,今就此百例作一临床分析,并对其病因、診断、预后及外科治疗等問題加以討論。临床資料分析 1.发病率:本病占本院同期各种住院患者人数的0.018％,占同期脑系科住院患者的0.24％,占同期脑血管意外住院患者的20.8％,100例中,10岁以内者1例,11—20岁3例,21—30岁24例,31—40岁17例,41—50岁21例,51—60岁25例,61—70岁8例,71—80岁1例,可見此病好发年龄为20—60岁,与一般文献报告的大致相仿,20岁以下及60岁以上者发病率均很低。本組男性患者占49％,女性患者占51％。 2.病因:临床診断42例有动脉硬化,6例脑血 Spontaneous subarachnoid hemorrhage in foreign literature reported a lot. Helpern and Rabson’s statistics of 2,030 cases of critically ill deaths, of which 4.7% due to the disease, for the prime and middle-aged deaths common causes. There are few domestic reports, including 46 cases of Xue Qiji and 39 cases of Luo Zhongtao. Department of Neurology, Affiliated Hospital of Tianjin Medical University from July 1954 to June 1959 in five years, received a total of 100 cases of patients with the disease, this one hundred cases for a clinical analysis, and its etiology, diagnosis, prognosis and surgical treatment And other issues to be discussed. Analysis of clinical data 1. Incidence: The disease accounted for 0.018% of all inpatients in our hospital over the same period, accounting for 0.24% of inpatients with cerebrovascular disease over the same period, accounting for 20.8% of patients admitted with cerebrovascular accident during the same period. Of the 100 cases, 10 1 case of age, 3 cases of 11-20 years old, 24 cases of 21-30 years old, 17 cases of 31-40 years old, 21 cases of 41-50 years old, 25 cases of 51-60 years old, 8 cases of 61-70 years old, 80 years old in 1 case, showing that the incidence of this disease is 20-60 years old, roughly the same as the general literature, the incidence of patients under the age of 20 and over 60 years are very low. The group of male patients accounted for 49%, 51% of female patients. Etiology: 42 cases of clinical diagnosis of atherosclerosis, 6 cases of cerebral blood