Capacity Management Discussion Of Aneurysmal Subarachnoid Hemorrhage

Objective:Intracranial aSAH(aneurysmal subarachnoid hemorrhage)is a cerebrovascular disease that damages the central nervous system and causes severe pathophysiological effects on multiple organs.Fluid maintenance in aSAH patients is part of routine intensive care.In this paper,we retrospectively analyzed the complete case data of 59 patients with SAH to investigate the capacity management of aneurysmal SAH patients and its impact on prognosis.Methods:A retrospective analysis of 2016.11 ~ 2017.11 in our hospital(the first hospital of Shanxi Medical University)Neurosurgery Hospital in parallel with surgical treatment of 59 patients with aneurysmal SAH complete clinical data.According to the Hunt-Hess clinical grade on the day of hospitalization,the patients were divided into three groups: I-II group,III-group,and IV-group;retrospective analysis,collation of liquid volume management data for each group of patients,and the statistics of the data After standardized treatment,they were included in the low-capacity group,equal-capacity group,and high-capacity group;and the three groups of patients with different fluid volumes were analyzed for their laboratory indicators,disease status,and outcomes.Results:1.There is a statistically significant difference between the three groups of fluids administered by Hunt-Hess grade I-II patients and the hemoglobin levels in patients with grade IV hemoglobin.2.In the Hunt-Hess grades I-II patients,the patient's state of consciousness and different volumes of fluid were statistically significant.There was no statistically significant difference in limb muscle strength between different fluid volumes.3.In Hunt-Hess class III patients,the state of consciousness and limb muscle strength were statistically significant between different fluid volumes.4.In Hunt-Hess class IV patients,the state of consciousness and limb muscle strength were not statistically significant between different fluid volumes.5.In the Hunt-Hess grading group,the prognosis of patients in different fluid volumes was not statistically significant.Conclusion:1.There is a difference between the three groups of liquid volume given by the sodium ion index of Hunt-Hess I-II patients and the hemoglobin index of IV patients;2.Hunt-Hess grade I-III aSAH patients,the patient's state of consciousness and the muscle strength of the limbs in the different doses of the liquid were different;IV patients with different levels of consciousness and limb muscle strength was no difference;3.In the Hunt-Hess graded patients,there was no difference in the prognosis of the patients between the three groups.