MacDonald E
Neurological/Neurosurgical ICU, Massachusetts General Hospital, Boston 02114.
J Neurosci Nurs. 1989 Oct;21(5):313-21. doi: 10.1097/01376517-198910000-00008.
To be able to understand and manage the devastating condition of subarachnoid hemorrhage due to ruptured aneurysm, the neuroscience practitioner needs to be thoroughly cognizant of its causes, symptoms, diagnosis and treatment. This article presents a descriptive review and current update of these factors. The high morbidity and mortality in survivors of initial subarachnoid hemorrhage is mainly due to development of complications of hydrocephalus, hypothalamic dysfunction, rebleeding and vasospasm. A thorough knowledge of their causes, symptoms, times of occurrence and treatment is vitally important. This article also discusses complications with emphasis upon studies being done and proposed new methods of therapy.
为了能够理解和处理因动脉瘤破裂导致的蛛网膜下腔出血这种毁灭性疾病,神经科学从业者需要全面了解其病因、症状、诊断和治疗方法。本文对这些因素进行了描述性综述和最新更新。初次蛛网膜下腔出血幸存者的高发病率和死亡率主要归因于脑积水、下丘脑功能障碍、再出血和血管痉挛等并发症的发生。深入了解它们的病因、症状、发生时间和治疗方法至关重要。本文还讨论了并发症,重点介绍了正在进行的研究和新提出的治疗方法。