Department of Neurology, Loyola University Chicago, Stritch School of Medicine, 2160 S. First Avenue, Maywood, IL, 60153, USA.
Curr Neurol Neurosci Rep. 2017 Jan;17(1):7. doi: 10.1007/s11910-017-0716-3.
Many systemic complications follow aneurysmal subarachnoid hemorrhage and are primarily due to sympathetic nervous system activation. These complications play an important role in the overall outcome of patients. The purpose of this review is to provide an update on the diagnosis, pathophysiology, and management of systemic complications specifically associated with aneurysmal subarachnoid hemorrhage. Special focus has been made on systemic complications that occur more frequently in patients with aneurysmal subarachnoid hemorrhage compared to other stroke subtypes and in the neurocritical care patient population. These complications include neurogenic pulmonary edema, electrocardiographic changes, troponin elevation, neurogenic stunned myocardium, hyponatremia, and anemia.
许多系统性并发症继发于蛛网膜下腔出血动脉瘤，主要是由于交感神经系统的激活。这些并发症在患者的整体预后中起着重要作用。本文旨在提供关于与蛛网膜下腔出血动脉瘤相关的系统性并发症的诊断、病理生理学和治疗的最新信息。特别关注的是与其他类型的中风相比，在蛛网膜下腔出血动脉瘤患者和神经重症监护患者中更常见的系统性并发症。这些并发症包括神经源性肺水肿、心电图改变、肌钙蛋白升高、神经源性心肌顿抑、低钠血症和贫血。
