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1、张永力刘方军【关键词】脑动脉瘤症状；脑出血；头疼；呕吐；诱因；Beforeaneurysmrupturebleeding,90%ofthepatientshadnoobvioussignsandsymptoms,oftenafurtherdevelopmentofaneurysmvolumeexpansion.Oculomotornerveparalysisistrafficarteryaneurysmaftermostpositioningauraarebroken.Afteraneurysmruptur
2、ebleeding,bleedingplacebyabloodclotsolidificationcontractionandvasospasmandreachthepurposeofhemostasis,andpromotingeffectofcerebrospinalfluid,breaktostopthebleeding.In1~2weeksafterthehemorrhage,ruptureintheweboffragile,abloodclotisliquefied,becausethemouth
3、ofthearterialwallrupturefibrosisisnotstrong,sopronetobleedingagain.脑血管病友之家：QQ群：249934975脑血管疾病病友交流的平台;动脉瘤在破裂出血之前，90%的病人没有明显的症状和体征，常常进一步发展，出现动脉瘤体积扩大。动眼神经麻痹是后交通动脉的动脉瘤最有定位意义的先兆破裂症状。动脉瘤破裂出血后，出血处由血凝块凝固以及血管痉挛收缩而达到止血的目的，加之脑脊液的促进作用，破裂处停止出血。在出血后1～2周，破裂处的纤维网脆弱、血凝块发生液
4、化，由于此时动脉壁破裂口的纤维化尚不牢固，故容易发生再次出血。Somepatientsoftenhaveobviouscause,infrontoftheaneurysmrupture,suchasheavymanuallabor,cough,forciblydefecate,running,drunk,emotional,anxiety,sex,etc.Inmorecases,thebleedingiswhenthereisnoobviouscausesudden,evenduringsleep.Most
5、patientssuddenonset,usuallywithheadacheanddisturbanceofconsciousnessasthemostcommonandmostoutstandingperformance.北京三博脑血管病专家张永力部分病人在动脉瘤破裂前常有明显的诱因，如重体力劳动、咳嗽、用力大便、奔跑、酒后、情绪激动、忧虑、性生活等。在更多的情况下，出血是在没有明显诱因时突然发生的，甚至发生在睡眠中。多数病人突然发病，通常以头痛和意识障碍为最常见和最突出的表现。Compressions
6、ymptoms:cerebralaneurysmsbecauseofdifferentpartsandcorrespondingcompressionsymptoms.Tumorshadincreasedaftercanappearhaveaheadache,islocatedinthelateralorbital,apulsatile;Mayalsoappearillsideexophthalmos,droopingeyelids,eyelimitedoutreach,hemiparesis,andmot
7、oraphasia,mentaldisorders,diabetesinsipidus,seizuresandnasalbleeding,etc.压迫症状:脑动脉瘤因为不同的部位而产生相应的压迫症状。瘤体增大后可出现头痛，位于病侧眼眶，呈搏动性;亦可出现病侧眼球突出、眼睑下垂、眼球外展受限、轻偏瘫、运动性失语、精神障碍、尿崩症、癫痫发作和鼻出血等表现。Ruptureaura:aneurysmafterexpansion,oftenlimitationscausedheadaches,soreeyes,vis
8、ionloss,nausea,painintheneckstiffness,dizzinessandmoveorsensorydisturbance,etc.,maybeanauraofcerebralaneurysmrupture.Whentheaneurysmmorethan2.5cmindiam.,canleadtoincreasedintracranialpressuresymptoms.破裂先兆:动脉瘤
