摘要
动脉瘤性蛛网膜下腔出血是神经外科的常见危重病,致死、致残率高,其临床诊断、治疗涉及脑血管外科、脑血管介入及神经重症多个学科。对于重症动脉瘤性蛛网膜下腔出血患者,在对动脉瘤进行治疗前后,因原发脑组织损害、继发脑组织缺血、颅内压增高以及系统性并发症等,需在围手术期进行神经重症监护治疗。中国医师协会神经外科医师分会神经重症专家委员会、中华医学会神经外科学分会脑血管病学组、中国医师协会神经介入专业委员会、北京医学会神经外科学分会神经外科危重症学组组织专家回顾总结近8年来国内外高质量临床研究结果,结合专家临床实践,对《重症动脉瘤性蛛网膜下腔出血管理专家共识(2015)》进行了更新与修订,重点聚焦于该疾病造成的脑损害及一系列并发症的神经重症管理,供危重症医学、神经重症、神经内外科、急诊医师参考,以提高我国重症动脉瘤性蛛网膜下腔出血围手术期的规范化诊疗水平。
Aneurysmal subarachnoid hemorrhage is a common critical disease in neurosurgery with a high mortality and disability.Its clinical diagnosis and treatment involve multidisciplinary medical services,including cerebrovascular surgery,cerebrovascular intervention and neurocritical care.Patients suffered from severe aneurysmal subarachnoid hemorrhage(SaSAH),with primary brain injury occurs after aneurysm bleeding and secondary cerebral ischemia,intracranial pressure increase and systemic complications,need perioperative neurological intensive care treatment.Neurointensive Care Expert Committee of Chinese Neurosurgeons Association,Cerebrovascular Group,Chinese Neurosurgical Society,Chinese Federation of Interventional Clinical Neurosciences,Neurosurgery Critical Care Group,Beijing Neurosurgical Society,organized experts to review and summarize the results of high-quality clinical studies in the past eight years.Combined with expert clinical practice,the committees updated and revised the Expert Consensus on the Management of Severe Aneurysmal Subarachnoid Hemorrhage 2015,focusing on the neurological intensive management of brain damage and a series of complications caused by this disease,to provide reference materials for critical care physicians,neurointensivists and neurosurgeons,and to improve the standardized diagnosis and treatment level of SaSAH during perioperative period in China.
作者
中国医师协会神经外科医师分会神经重症专家委员会
中华医学会神经外科学分会脑血管病学组
中国医师协会神经介入专业委员会
北京医学会神经外科学分会神经外科危重症学组
王宁
康德智
胡锦
张鸿祺
徐跃峤
石广志
魏俊吉
曲鑫
齐猛
赵浩
Neurointensive Care Expert Committee of Chinese Neurosurgeons Association;Cerebrovascular Group,Chinese Neurosurgical Society;Chinese Federation of Interventional Clinical Neurosciences(CFITN);Neurosurgery Critical Care Group,Beijing Neurosurgical Society;Wang Ning;Kang Dezhi;Hu Jin;Zhang Hongqi(不详;Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Neurosurgery,the First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China;Department of Neurosurgery,Huashan Hospital Affiliated to Fudan University,Shanghai 200040,China)
出处
《中国脑血管病杂志》
CAS
CSCD
北大核心
2023年第2期126-144,F0003,共20页
Chinese Journal of Cerebrovascular Diseases
基金
国家重点研发计划重大慢性非传染性疾病防控研究重点专项资助项目(2016YFC1300800)。
关键词
蛛网膜下腔出血
颅内动脉瘤
重症管理
专家共识
Subarachnoid hemorrhage
Intracranial aneurysm
Critical care management
Expert consensus
作者简介
通信作者:王宁,100053北京,首都医科大学宣武医院神经外科,Email:ningjing_wd@163.com;通信作者:康德智,350005福州,福建医科大学附属第一医院神经外科,Email:kdz99988@sina.com;通信作者:胡锦,200040上海,复旦大学附属华山医院神经外科,Email:hujin_dana@126.com;通信作者:张鸿祺,100053北京,首都医科大学宣武医院神经外科,Email:xwzhanghq@163.com。
