Lakhani S, Guha A, Nahser H C
Walton Centre for Neurology and Neurosurgery, Department of Anaesthesia, Liverpool, UK.
Eur J Anaesthesiol. 2006 Nov;23(11):902-13. doi: 10.1017/S0265021506000901. Epub 2006 May 24.
Subarachnoid haemorrhage due to rupture of cerebral aneurysms is a multisystem disease. Treatment of the condition in the past has relied on craniotomy and clipping of the aneurysm to prevent a recurrent haemorrhage. There is now emerging evidence to suggest that endovascular treatment of cerebral aneurysms may reduce the morbidity associated with open surgery. The anaesthetic management of interventional neuroradiology also creates new challenges due to the novel approach to treatment. Anaesthetists need to be familiar with this procedure and the management of potential complications. This review provides an overview such considerations.
由脑动脉瘤破裂引起的蛛网膜下腔出血是一种多系统疾病。过去，该疾病的治疗依赖于开颅手术和动脉瘤夹闭术以预防再次出血。现在有新出现的证据表明，脑动脉瘤的血管内治疗可能会降低与开放手术相关的发病率。由于治疗方法新颖，介入神经放射学的麻醉管理也带来了新的挑战。麻醉医生需要熟悉这一操作过程以及潜在并发症的处理。本综述概述了此类注意事项。
