Department of Neurosurgery, Johns Hopkins University School of Medicine, 1800 Orleans Street, Room 6007, Baltimore, MD 21287, USA.
Neurosurg Clin N Am. 2013 Jul;24(3):321-37. doi: 10.1016/j.nec.2013.02.008. Epub 2013 Apr 24.
Patients with aneurysmal subarachnoid hemorrhage who survive the initial hemorrhage require complex interventions to occlude the aneurysm, typically followed by a prolonged intensive care unit and hospital course to manage the complications that follow. Much of the morbidity and mortality from this disease happens in delayed fashion in the neurocritical care unit. Despite progress made in the last decades, much remains to be understood about this disease and how to best manage these patients. This article provides a review of current evidence and the authors' experience, aimed at providing practical aid to those caring for patients with this disease.
患有脑动脉瘤性蛛网膜下腔出血的患者在幸存初始出血后需要进行复杂的干预以闭塞动脉瘤，通常随后需要在重症监护病房和医院接受长时间的治疗来处理随之而来的并发症。这种疾病的大部分发病率和死亡率都在神经重症监护病房中延迟出现。尽管在过去几十年中取得了进展，但对于这种疾病以及如何最好地管理这些患者，仍有许多需要了解。本文综述了当前的证据和作者的经验，旨在为照顾这些患者的人提供实际帮助。
