Subarachnoid hemorrhage

Subarachnoid hemorrhage yog suav tias yog ib tug soj ntsuam syndrome. Qhov no manifestation ntawm txawv nosological ywj siab thiab tshwm sim los ntawm ntau yam tseem ceeb. Tsis-puas subarachnoid hemorrhage yog suav tias yog ib tug txawj xwm thiab hais txog ntau yam ntawm hemorrhagic stroke.

Feem ntau cov feem ntau, ib tug syndrome txhais los ntawm vascular aneurysm rupture. Feem ntau, aneurysms tshwm sim nyob rau hauv lub hauv paus ntawm lub hlwb nyob rau qhov chaw ntawm arterial branching.

Risk yam tseem ceeb ua subarachnoid hemorrhage, xws li tawg, tshwj xeeb tshaj yog nrog txhua hnub hloov mus hloov los nyob rau hauv cov ntshav siab, haus luam yeeb, qhov ncauj contraceptives hais lus, alcoholism, yeeb siv. Thaum lub sij hawm thaum lub sij hawm thiab lub sij hawm yog tau me nyuam feem ntau muaj yog tau manifestation ntawm tus soj ntsuam syndrome. Nws yuav tsum tau muab sau tseg tias ze cov txheeb ze ntawm cov neeg mob uas muaj mob ib tug subarachnoid hemorrhage, feem ntau nws mus rau lub rov tshwm sim ntawm tus aneurysm.

Nqa tawm cov kev kho mob ntawm lub aneurysm tsis muaj kev sib tawg expediently ntawm ib tus nqi ntawm ntau tshaj xya millimeters nyob rau hauv lub soj ntsuam syndrome ntawm keeb kwm, thiab nyob rau hauv lub xub ntiag ntawm symptomatic aneurysms thiab lwm yam uas muaj feem yuav yam.

Thaum pom nyob rau hauv ib tsev neeg ob tus neeg ntawm subarachnoid hemorrhage nyob rau hauv thawj-degree txheeb ze, nws cov tswv cuab yuav tsum tuav MR angiography raws li ib tug soj ntsuam.

Feem ntau qhov ntawm txawj syndrome tsis txuam nrog aneurysms xws li me me so nyob rau hauv lub intradural cov hlab ntsha, mycotic aneurysm, immunodeficiency los yog yeeb tshuaj leeg. Raws li kev xyaum qhia, cov xwm txheej ntawm recurrent mob ntawm ib feem pua rau ib lub xyoo.

Subarachnoid hemorrhage nyob rau hauv lub hlwb thiaj paub hais tias los ntawm qhov txawv cov manifestation ntawm kev soj ntsuam cov tsos mob. Pom ntawm qhov mob yog nqa tawm los ntawm txoj kev CT. Thaum peb qhia CT yog tsis tau mus kawm los yog muaj tsis ntxim, taw los ntawm lumbar tej (LP).

Subarachnoid hemorrhage. cov tsos mob

Qhov tseem yam ntxwv ces cov syndrome xws li cov cia li los tsim hauv vib nas this los yog feeb ntawm ib tug loj heev mob taub hau. Nyob rau hauv feem ntau tus neeg mob, cov neeg mob yuav muab piv nws nrog ib tug ntse tshuab mus rau lub taub hau. Tom qab ib tug ob peb lub vib nas this, kwv yees li ib nrab ntawm cov neeg mob poob nco qab uas nthawv zoo tu qab tso nyob rau hauv feem ntau. Cov soj ntsuam daim duab yuav muab piv nrog syncope los yog qaug dab peg. Nws yuav tsum tau muab sau tseg tias qaug dab peg ntawm qaug dab peg feem ntau muaj nyob rau hauv subarachnoid hemorrhage, thiab nyob rau hauv ib co neeg mob cov kev qhia ntawm neurogenic mob ntawm lub plawv atherosclerosis. Lub localization ntawm lub aneurysm yuav thaws rov los lub teeb los yog me me focal neurological nyiaj tsawg. Tom qab ob peb teev tom qab subarachnoid hemorrhage feem ntau tshwm txhav nyob rau hauv lub caj dab nqaij.

Nyob rau hauv me me mob, cov neeg mob tej zaum yuav xav tias xeev siab, mob nyob rau hauv lub caj dab, uas yog tej zaum kuj yuam paub hais tias raws li ib tug lub tsev me nyuam osteochondrosis. Cov tshwm sim ntawm cia li mob ntawm lub xub pwg tuaj los yog nyob rau hauv lub qis feem ntawm lub caj dab qhia ib tug txha caj hemorrhage.

Tus kab mob yuav tsum tau txawv los ntawm cerebral venous thrombosis, meningoencephalitis, migraine, sinusitis, hypertensive encephalopathy, mob degree.

Tam sim no nyob rau hauv lub subarachnoid qhov chaw ntawm cov ntshav yuav ua tsis tau kuaj tau los ntawm CT nyob rau thaum xaus ntawm lub hnub, tom qab tsib hnub, nws twb tsis kuaj nyob rau hauv ib nrab ntawm cov neeg mob.

Pom ntawm qhov mob thiab lub sijhawm twg los ntawm kev twb kev txuas nrog subarachnoid hemorrhage aneurysm yuav siv cov cerebral angiography thiab pw tsev kho mob nyob rau hauv neurosurgical department nyob rau hauv tebchaws aneurysms. Yog hais tias lub Nov ntawm mob taub hau LP thiab CT ua nyob rau hauv thawj ob lub lim piam ntawm tus kab mob no, yog kiag li ib txwm, cerebral hagiography yog tsis muab.