Abstract: Objective To analysis the risk factors relative with clinical outcomes of subarachnoid hemorrhage(SAH).Methods One hundred and thity-six SAH cases completed with DSA from 2007 to 2008 in ourhospital were enrolled. Nature information, previous history, Hunt-Hess classification score and CTFisher grade, aneurysm position, GCS at early time, complications and discharge MRS were usedfor single factor and multivariate analysis of the relative risk factors.Results Vasospasm, rehaemorhagia, infection, febris, Hunt-Hess classification score, CT Fishergrade and consequence of DSA had statistical difference (P <0.05).Conclusion The aneurysm subarachnoid hemorrhage patiens with high Hunt-Hess classificationscore and CT Fisher grade, poorly GCS or vasospasm, rehaemorhagia, infection, febris had poorprognosis.

Key words: Subarachnoid hemorrhage; Aneurysm; Complication; Mortality; Prognosis

摘要： 目的 分析蛛网膜下腔出血（subarachnoid hemorrhage，SAH）患者临床预后的影响因素。方法 分析2007～2008年我院神经内科收治的蛛网膜下腔出血且住院期间完成数字减影血管造影（digital subtraction angiography，DSA）检查的患者共136例，分别收集患者自然信息、病前合并疾病、Hunt-Hess、Fisher分级、全脑血管造影结果、发病时格拉斯哥昏迷评分（Glasgow coma scale，GCS）、并发症及出院时改良的Ranking量表评分（modified Ranking Scale，mRS）等情况，进行单因素和多因素回归分析。结果 血管痉挛、再出血、感染、发热、Hunt-Hess评分、CT Fisher分级、GCS 评分、DSA结果等因素具有统计学意义（P＜0.05）。结论 动脉瘤性蛛网膜下腔出血患者，高Hunt-Hess及CT Fisher分级、GCS评分差，或合并感染、发热、血管痉挛、再出血的患者预后差。

关键词: 蛛网膜下腔出血; 动脉瘤; 并发症; 死亡率; 预后