ĐẶC ĐIỂM LÂM SÀNG, BIẾN CHỨNG Ở BỆNH NHÂN XUẤT HUYẾT DƯỚI NHỆN DO VỠ PHÌNH MẠCH NÃO

Abstract

Background: Cases of non-traumatic subarachnoid hemorrhage are mostly caused by ruptured cerebral aneurysms. This is a serious disease with a high mortality rate and many dangerous complications. Objectives: To describe the clinical characteristics and complications in patients with subarachnoid hemorrhage due to ruptured cerebral aneurysm. Materials and methods: Case series study on 48 patients with subarachnoid hemorrhage due to ruptured cerebral aneurysm treated at Can Tho Central General Hospital and S.I.S Can Tho International General Hospital. Results: Clinical features usually begin at rest (79.2%), common symptoms were headache (85.4%), disturbance of consciousness (33.3%), nausea (31.3%), meningeal signs (77.1%), hemiparesis (25%). Common complications were hyponatremia (50%), intraventricular hemorrhage (45.8%), parenchymal hemorrhage (27.1%), acute ventriculomegaly (22.9%), pneumonia (16.7%). Conclusion: Subarachnoid hemorrhage due to ruptured cerebral aneurysm has diverse clinical symptoms. Many serious complications, common complications are hyponatremia, intraventricular bleeding and brain parenchymal bleeding.