Hug A, Aschoff A, Schwab S
Abteilung Neurologie, Neurologische Klinik, Universitätsklinikum Heidelberg, Heidelberg.
Nervenarzt. 2004 Oct;75(10):953-61. doi: 10.1007/s00115-004-1737-0.
Spontaneous intracerebral hemorrhage (ICH) accounts for 8-15% of all cases of stroke and among patients receiving oral anticoagulants this number increases up to 40%. Mortality and morbidity are considerably higher in patients with ICH compared to patients with ischemic stroke. Large randomized controlled trials provide only little evidence for therapeutic strategies in patients with spontaneous ICH. In this review we summarize the available data and give recommendations on the management of spontaneous ICH.
自发性脑出血(ICH)占所有中风病例的8-15%,在接受口服抗凝剂治疗的患者中,这一比例增至40%。与缺血性中风患者相比,ICH患者的死亡率和发病率要高得多。大型随机对照试验几乎没有为自发性ICH患者的治疗策略提供证据。在本综述中,我们总结了现有数据,并就自发性ICH的管理给出建议。