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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Circumstances, Activities, and Events Precipitating Aneurysmal Subarachnoid Hemorrhage
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Circumstances, Activities, and Events Precipitating Aneurysmal Subarachnoid Hemorrhage

机译:导致动脉瘤性蛛网膜下腔出血的情况,活动和事件

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摘要

Medical records of 513 patients with aneurysmal subarachnoid hemorrhage were reviewed to analyze the factors precipitating aneurysmal rupture. There was no seasonal difference in incidence. A significantly higher incidence was observed during 6:00 AM to 9:00 AM and 6:00 PM to 9:00 PM when engaging in daily routines such as defecation/micturition, brushing teeth/washing face/dressing, eating/drinking, and taking a bath. These activities are associated with a Valsalva maneuver that results in sudden pressure changes across the aneurysmal wall precipitating aneurysmal rupture. Aneurysmal rupture occurred most frequently during talking, chatting, watching television, or staying home without any strenuous physical activity. Considering the time spent, the highest incidence rate was found during defecation/micturition. There was no significant difference between men and women or between younger and older age groups regarding activities or events preceding aneurysmal rupture. Hypertension was the most common preexisting medical problem. The main results are the same as those of the previous study except for aging of the patients.
机译:回顾性分析了513例蛛网膜下腔出血患者的病历,以分析导致动脉瘤破裂的因素。发病率没有季节性差异。当每天进行排便/排尿,刷牙/洗脸/化妆,进食/喝水和排便等日常工作时,在6:00 AM至9:00 AM和6:00 PM至9:00 PM观察到的发病率明显更高。洗澡。这些活动与Valsalva动作有关,该动作导致穿过动脉瘤壁的压力突然变化,导致动脉瘤破裂。在谈话,聊天,看电视或没有任何剧烈运动的情况下呆在家里时,动脉瘤破裂最常发生。考虑到所花费的时间,排便/排尿期间的发病率最高。在动脉瘤破裂之前的活动或事件上,男女之间以及年轻人和老年人之间没有显着差异。高血压是最普遍存在的医学问题。除了患者的衰老外,主要结果与先前研究的结果相同。

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