761例动脉瘤性蛛网膜下腔出血患者临床特点分析

发布时间：2018-07-11 16:08

本文选题：颅内动脉瘤 + 蛛网膜下腔出血　；参考：《吉林大学》2014年硕士论文

【摘要】：目的：探讨吉林大学第一医院aSAH患者的临床特点。方法：连续收集吉林大学第一医院神经血管病外科2013年一年内收住的761例aSAH患者的临床资料进行分析，总结出吉林大学第一医院收住的aSAH患者的临床特点。结果：2013年间吉林大学第一医院收治的761名aSAH患者中，秋冬季节及白天发病人数居多，其中最小年龄为17岁，最大年龄为87岁。平均年龄为55.28±11.12岁，年龄在50-59岁之间破裂人数最多。女性患者比男性患者多，女性比男性为1.78：1。单发动脉瘤与多发动脉瘤壁为2.88:1。单发动脉瘤中动脉瘤平均大小为5.80±2.70mm。动脉瘤大小在3-10mm的患者中最多占83.3%。单发动脉瘤中前交通动脉瘤破裂例数最多（37.8%），其次是后交通动脉瘤（27.6%）。在多发动脉瘤中镜像动脉瘤占5.5%，其中双侧后交通动脉瘤占3.2%。双侧中动脉瘤占1.8%。结论：1、本组aSAH患者一般在秋冬，冬春季节变化时，且白天多发。 2、aSAH好发年龄段为50-59岁之间。女性多于男性比率为1.78:1。与国内报道相似，，较西方国家低。 3、单发动脉瘤患者数比多发动脉瘤患者数为515:179（2.88：1）。较国外报道略低，但比例高于国内。 4、单发动脉瘤的患者中，前交通动脉瘤破裂最多，占37.8%；其次为后交通动脉瘤，占27.6%。 5、多发动脉瘤占颅内动脉瘤的179/761（23.5%）镜像动脉瘤占5.5%；双侧后交通比率最高为3.2%；其次为双侧中动脉为1.8%。 6、动脉瘤直径在3mm-10mm之间破裂最多占83.3%。
[Abstract]:Objective: to investigate the clinical characteristics of aSAH patients in the first Hospital of Jilin University. Methods: the clinical data of 761 patients with aSAH admitted in the Department of Neurovascular Diseases in the first Hospital of Jilin University in 2013 were analyzed and the clinical characteristics of the patients were summarized. Results among 761 patients with aSAH admitted in the first Hospital of Jilin University from 2013 to 2013, most of them were diagnosed in autumn and winter seasons and daytime. The youngest age was 17 years and the oldest was 87 years old. The average age was 55.28 卤11.12 years old, and the number of ruptured persons between 50 and 59 years old was the highest. Women have more patients than men, with 1.78: 1. The ratio of single aneurysm to multiple aneurysm was 2.88: 1. The average size of single aneurysm was 5.80 卤2.70 mm. Aneurysm size accounts for 83.3% of 3-10mm patients. Among the single aneurysms, the rupture of anterior communicating aneurysm was the most (37.8%), followed by posterior communicating aneurysm (27.6%). Among the multiple aneurysms, the mirror aneurysm was 5.5 and the bilateral posterior communicating artery aneurysm was 3.2. Bilateral middle artery aneurysm accounted for 1.8%. ConclusionsASAH patients in this group usually change in autumn, winter and spring, and more frequently in the daytime. 2 the most common incidence age of aSAH is 50-59 years old. The ratio of women to men was 1.78: 1. Similar to domestic reports, the number of patients with single aneurysms was 515: 179 (2.88: 1). It was slightly lower than that reported abroad, but the proportion was higher than that in China. 4. Among the patients with single aneurysms, the anterior communicating artery aneurysm was ruptured most, accounting for 37.8 percent, and the posterior communicating artery aneurysm was the next. The ratio of multiple aneurysms to intracranial aneurysms was 179r761 (23.5%), the ratio of bilateral posterior communication was 3.2cm, the second was bilateral middle artery (1.86.6), and the diameter of aneurysms ruptured between 3mm-10mm (83.3%).
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R739.41

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