Causes of death in patients with subarachnoid hemorrhage induced by ruptured cerebral aneurysms
10.3760/cma.j.issn.1671-8925.2012.01.017
- VernacularTitle:动脉瘤破裂致蛛网膜下腔出血患者死亡原因分析
- Author:
Xin-Yu LU
1
;
Qiao-Yu LI
;
Pei-Song LU
Author Information
1. 江苏大学附属人民医院
- Keywords:
Cerebral aneurym Aneurysm;
Subarachnoid hemorrhage;
Risk factor
- From:
Chinese Journal of Neuromedicine
2012;11(1):68-70
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factors of death in patients with subarachnoid hemorrhage induced by ruptured cerebral aneurysms and provide some therapeutic strategies. Methods A retrospective analysis of the clinical data and causes of death in 24 patients died from subarachnoid hemorrhage induced by ruptured cerebral aneurysms from January 2003 to December 2010 was performed. Results Eleven patients died from intra-cerebral re-bleeding: 5 patients had re-bleeding before the interventional embolization,3 had bleeding during the surgery,and 3 had re-bleeding after the surgery. Eight patients died from vasospasm or cerebral infarction after the surgery, including 3 with cerebral infarction under early-stage CT (within 3 d of surgery) and 5 with vasospasm or cerebral infarction under late-stage CT (3 d after the surgery); 1 died from respiratory arrest after the operation; 3 died from pulmonary infection; and 1 died from renal failure. Conclusion Re-bleeding,vasospasm/cerebral infarction and Non- neurological complications are the major causes of death in patients died from aneurysmal subarachnoid hemorrhage induced by ruptured cerebral aneurysms.Increase the awareness of causes of death will help reduce the mortality.
