[摘要] 目的 探讨动脉瘤性蛛网膜下腔出血(SAH)早期血管内介入栓塞治疗后的预后。方法 回顾分析55例确诊动脉瘤性SAH并早期行血管内栓塞治疗的患者资料，记录人口特征、病前合并疾病、动脉瘤位置、发病时GCS评分及出院时神经功能恢复情况(牛津残障评分)，并分析影响预后的相关因素。结果 介入栓塞动脉瘤后死亡率下降，单因素分析发现动脉瘤性SAH患者栓塞动脉瘤后的预后仍明显受其发病年龄、病情严重程度影响。结论 早期血管内栓塞动脉瘤可改善动脉瘤性SAH总体预后，高龄及GCS评分高提示动脉瘤性SAH栓塞术后预后不良。

    [关键词] 蛛网膜下腔出血；动脉瘤；血管内栓塞；预后

    Outcome of aneurismal subarachnoid hemorrhage after endovascular embolization

    HUANG Hua-meng,PAN Xiao-ping.

    Department of Neurology,Guangzhou First Municipal Hospital,Guangzhou 510180,China

    [Abstract] Objective To evaluate the outcome of aneurismal subarachnoid hemorrhage(SAH) after early endovascular embolization with detachable coils.

    Methods The clinical data of 55 cases who were indeedly suffered aneurismal subarachnoid hemorrhage and had received endovascular embolization were collected and retrospective analyzed. ......