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急性颅内和脑室内出血的处理。

Management of acute intracranial and intraventricular hemorrhage.

机构信息

Neurology/Anesthesiology Critical Care Medicine/ Neurosurgery, Johns Hopkins School of Medicine, Baltimore Maryland, USA.

出版信息

Crit Care Med. 2010 Mar;38(3):946-53. doi: 10.1097/CCM.0b013e3181d16a04.

Abstract

OBJECTIVE

Acute intracranial hemorrhage and intraventricular hemorrhage are devastating disorders. The goal of this review is to familiarize clinicians with recent information pertaining to the acute care of intracranial hemorrhage and intraventricular hemorrhage.

DATA SOURCES

PubMed search and review of the relevant medical literature.

SUMMARY

The management of intracranial hemorrhage and intraventricular hemorrhage is complex. Effective treatment should include strategies designed to reduce hematoma expansion and limit the medical consequences of intracranial hemorrhage and intraventricular hemorrhage. At present, there are a number of new approaches to treatment that may reduce mortality and improve clinical outcomes. Clinicians should recognize that patients with large hematomas may make a substantial recovery.

CONCLUSIONS

Patients with intracranial hemorrhage and intraventricular hemorrhage should be cared for in an intensive care unit. New therapies designed to stabilize hematoma growth and reduce hematoma burden may improve outcomes.

摘要

目的

急性颅内出血和脑室内出血是毁灭性的疾病。本综述的目的是使临床医生熟悉有关急性颅内出血和脑室内出血的最新信息。

资料来源

PubMed 搜索和相关医学文献的综述。

摘要

颅内出血和脑室内出血的治疗很复杂。有效的治疗应该包括旨在减少血肿扩大和限制颅内出血和脑室内出血的医疗后果的策略。目前,有许多新的治疗方法可能降低死亡率并改善临床结果。临床医生应该认识到,大血肿的患者可能会有很大的恢复。

结论

颅内出血和脑室内出血的患者应在重症监护病房接受治疗。旨在稳定血肿生长和降低血肿负荷的新疗法可能会改善预后。

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