Department of Anesthesiology and Intensive Care, CHU Timone, Université de la Méditerranée, 264 rue St-Pierre, Marseille, France.
Neurocrit Care. 2011 Sep;15(2):257-69. doi: 10.1007/s12028-011-9598-4.
Cardiopulmonary complications after aneurysmal subarachnoid hemorrhage negatively affect overall morbidity and mortality. An electronic literature search was performed for English-language articles focused on cardiopulmonary complications with subarachnoid hemorrhage published through October 2010. A total of 278 citations were identified, including 72 clinical studies. In most cases, study quality was low or very low. Cardiac injury, evidenced by an elevation in troponin levels, is reported in about one-third of patients after aneurysmal subarachnoid hemorrhage. Arrhythmias also occur in about one-third of patients after subarachnoid hemorrhage. The incidence of pulmonary complications, especially neurogenic pulmonary edema, is more difficult to establish from available literature. Cardiopulmonary complications have been linked to worsened clinical outcome, suggesting a role for cardiac monitoring and interventions.
动脉瘤性蛛网膜下腔出血后的心肺并发症会对整体发病率和死亡率产生负面影响。我们针对 2010 年 10 月前发表的英语文献进行了电子文献检索，这些文献主要聚焦于蛛网膜下腔出血的心肺并发症。共确定了 278 条引文，包括 72 项临床研究。在大多数情况下，研究质量较低或非常低。研究报告称，约三分之一的动脉瘤性蛛网膜下腔出血患者会出现心肌损伤，表现为肌钙蛋白水平升高。心律失常也发生在大约三分之一的蛛网膜下腔出血患者中。从现有文献中很难确定肺部并发症（特别是神经源性肺水肿）的发生率。心肺并发症与临床预后恶化有关，这提示需要进行心脏监测和干预。
