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[脑出血的特异性治疗。专家建议:重症监护病房中的卒中管理]

[Specific treatment for intracerebral hemorrhage. Experts' recommendations: stroke management in the intensive care unit].

作者信息

Medeiros de Bustos E, Moulin T

机构信息

Service de neurologie, CHU Jean Minjoz, boulevard Fleming, Besançon, France.

出版信息

Rev Neurol (Paris). 2012 Jun;168(6-7):522-6. doi: 10.1016/j.neurol.2011.11.009. Epub 2012 Jun 12.

Abstract

Spontaneous intracerebral hemorrhages represent from 10 to 15% of strokes. They can be defined by the eruption of arterial blood within the cerebral parenchyma. Clinical signs are not specific and the diagnosis can only be made using brain imaging techniques (CT or magnetic resonance imaging). Management of intracerebral hemorrhage combines general measures (neurovascular intensive care unit, treatment of high blood pressure and of neurotoxic factors) with more specific measures including correction of coagulation abnormalities and, in some cases, neurosurgical treatment.

摘要

自发性脑出血占中风病例的10%至15%。其可定义为脑实质内动脉血的喷发。临床症状不具有特异性,只能通过脑成像技术(CT或磁共振成像)进行诊断。脑出血的治疗包括一般措施(神经血管重症监护病房、高血压治疗和神经毒性因素治疗)以及更具体的措施,包括纠正凝血异常,在某些情况下还包括神经外科治疗。

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