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首页> 外文期刊>Finlay : Revista de Enfermedades no Transmisibles >Predictores de vasoespasmo cerebral sintomático en la hemorragia subaracnoidea espontánea
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Predictores de vasoespasmo cerebral sintomático en la hemorragia subaracnoidea espontánea

机译：自发性蛛网膜下腔出血症状性脑血管痉挛的预测因素

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Background: subarachnoid hemorrhage accounts for only 2 to 5 % of all cerebrovascular diseases; however it causes approximately 25 % of all deaths related to them. Objective: to identify the factors contributing to the prediction of symptomatic cerebral vasospasm in patients diagnosed with subarachnoid hemorrhage. Methods: a prospective longitudinal study was conducted in 73 patients aged 15 years or more with subarachnoid hemorrhage admitted to the Carlos Manuel de Céspedes Provincial General Hospital in Granma province from January 2010 through October 2011. Descriptive and inferential statistics in addition to clinical epidemiology resources were used. Results: among the patients studied, 15 developed symptomatic cerebral vasospasm (20.5 %). Closely-related factors included: advanced age, loss of consciousness at the time of onset, intracranial hypertension as major clinical syndrome, water-electrolyte imbalance and respiratory arrhythmias. Low scores on the Glasgow Coma scale and high scores on the Hunt and Hess scale and the World Federation of Neurosurgical Societies scale are related to the presence of symptomatic cerebral vasospasm in spontaneous subarachnoid hemorrhage. Conclusions: in most cases, diagnosis of vasospasm after subarachnoid hemorrhage is clinically established. Relying on clinical predictors can be useful.
机译：背景：蛛网膜下腔出血仅占所有脑血管疾病的2％至5％;但是，它导致大约25％的与他们相关的死亡。目的：找出有助于预测蛛网膜下腔出血患者症状性脑血管痉挛的因素。方法：从2010年1月至2011年10月，对格拉玛省卡洛斯·曼努埃尔·塞斯佩德斯省总医院收治的73名年龄在15岁或15岁以上的蛛网膜下腔出血患者进行了一项前瞻性纵向研究。用过的。结果：在研究的患者中，有15例出现了症状性脑血管痉挛（20.5％）。密切相关的因素包括：高龄，发病时意识丧失，作为主要临床综合征的颅内高压，水电解质失衡和呼吸性心律失常。格拉斯哥昏迷量表的低分，亨特和赫斯量表以及世界神经外科学会联合会量表的高分与自发性蛛网膜下腔出血的症状性脑血管痉挛有关。结论：在大多数情况下，蛛网膜下腔出血后血管痉挛的诊断已被临床证实。依靠临床预测指标可能会有用。

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