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紧急神经生命支持:蛛网膜下腔出血。

Emergency Neurological Life Support: Subarachnoid Hemorrhage.

机构信息

Department of Neurology, Massachusetts General Hospital, Boston, MA, USA.

Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA.

出版信息

Neurocrit Care. 2017 Sep;27(Suppl 1):116-123. doi: 10.1007/s12028-017-0458-8.

DOI:10.1007/s12028-017-0458-8
PMID:28913624
Abstract

Subarachnoid hemorrhage (SAH) is a neurological emergency because it may lead to sudden neurological decline and death and, depending on the cause, has treatment options that can return a patient to normal. Because there are interventions that can be life-saving in the first few hours after onset, SAH was chosen as an Emergency Neurological Life Support (ENLS) protocol.

摘要

蛛网膜下腔出血 (SAH) 是一种神经急症,因为它可能导致突然的神经功能下降和死亡,并且根据病因,有治疗方法可以使患者恢复正常。由于在发病后数小时内有可以救命的干预措施,因此将 SAH 选为紧急神经生命支持 (ENLS) 方案。

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Emergency Neurological Life Support: Subarachnoid Hemorrhage.紧急神经生命支持:蛛网膜下腔出血。
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本文引用的文献

1
Guideline for Reversal of Antithrombotics in Intracranial Hemorrhage: A Statement for Healthcare Professionals from the Neurocritical Care Society and Society of Critical Care Medicine.颅内出血中抗栓药物逆转指南:神经重症监护学会和危重症医学会给医疗保健专业人员的声明
Neurocrit Care. 2016 Feb;24(1):6-46. doi: 10.1007/s12028-015-0222-x.
2
Differentiation between traumatic tap and aneurysmal subarachnoid hemorrhage: prospective cohort study.创伤性穿刺与动脉瘤性蛛网膜下腔出血的鉴别:前瞻性队列研究。
BMJ. 2015 Feb 18;350:h568. doi: 10.1136/bmj.h568.
3
Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/american Stroke Association.
颅内动脉瘤性蛛网膜下腔出血管理指南:美国心脏协会/美国卒中协会医疗保健专业人员指南。
Stroke. 2012 Jun;43(6):1711-37. doi: 10.1161/STR.0b013e3182587839. Epub 2012 May 3.
4
Critical care management of patients following aneurysmal subarachnoid hemorrhage: recommendations from the Neurocritical Care Society's Multidisciplinary Consensus Conference.动脉瘤性蛛网膜下腔出血患者的重症监护管理:来自神经重症监护学会多学科共识会议的建议。
Neurocrit Care. 2011 Sep;15(2):211-40. doi: 10.1007/s12028-011-9605-9.
5
Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study.发病 6 小时内进行的计算机断层扫描对蛛网膜下腔出血诊断的敏感性:前瞻性队列研究。
BMJ. 2011 Jul 18;343:d4277. doi: 10.1136/bmj.d4277.
6
High risk clinical characteristics for subarachnoid haemorrhage in patients with acute headache: prospective cohort study.高风险临床特征亚急性蛛网膜下腔出血在急性头痛患者:前瞻性队列研究。
BMJ. 2010 Oct 28;341:c5204. doi: 10.1136/bmj.c5204.
7
What are the unintended consequences of changing the diagnostic paradigm for subarachnoid hemorrhage after brain computed tomography to computed tomographic angiography in place of lumbar puncture?将脑计算机断层扫描后蛛网膜下腔出血的诊断模式从腰椎穿刺改为计算机断层血管造影会产生哪些意外后果?
Acad Emerg Med. 2010 Sep;17(9):991-5; discussion 996-7. doi: 10.1111/j.1553-2712.2010.00840.x.
8
Determining the sensitivity of computed tomography scanning in early detection of subarachnoid hemorrhage.计算断层扫描在早期检测蛛网膜下腔出血中的敏感性。
Neurosurgery. 2010 May;66(5):900-2; discussion 903.
9
Multidisciplinary management and emerging therapeutic strategies in aneurysmal subarachnoid haemorrhage.动脉瘤性蛛网膜下腔出血的多学科管理和新兴治疗策略。
Lancet Neurol. 2010 May;9(5):504-19. doi: 10.1016/S1474-4422(10)70087-9.
10
Can computed tomography angiography of the brain replace lumbar puncture in the evaluation of acute-onset headache after a negative noncontrast cranial computed tomography scan?脑 CT 血管造影能否替代阴性颅脑 CT 扫描后急性发作头痛患者的腰椎穿刺?
Acad Emerg Med. 2010 Apr;17(4):444-51. doi: 10.1111/j.1553-2712.2010.00694.x.