To analyze the prognosis of subarachnoid hemorrhage caused by ruptured aneurysm treated by coil embolization within 24 h.

One hundred and twenty-seven patients with subarachnoid hemorrhage caused by ruptured aneurysms were enrolled in the Department of Neurosurgery of Huanggang Central Hospital from January 2014 to June 2017. Cases received embolization within 24 h were involved in the ultra-early group (71 cases), inclusion of patients over 24 h into non-ultra-early group (56 cases). The perioperative efficacy and prognosis at 6 months after operation were compared between the two groups.

The incidence of preoperative rebleeding, postoperative cerebral infarction and hydrocephalus in the ultra-early group was significantly lower than that in the non-ultra-early group (P<0.05). There was no significant difference in hospital mortality between the two groups (P>0.05). There was no significant difference in the modified Rankin scale (mRs) scores between the two groups at 6 months after operation (P>0.05).

For patients with subarachnoid hemorrhage caused by ruptured aneurysm, coil embolization within 24 h can reduce preoperative rebleeding, postoperative cerebral infarction and hydrocephalus, but it does not significantly improve the prognosis of the patients.