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紧急神经生命支持:脑出血。

Emergency Neurological Life Support: Intracerebral Hemorrhage.

机构信息

Department of Neurology, Bldg 1, Room 101, Zuckerberg San Francisco General Hospital, University of California, 1001 Potrero Avenue, San Franciso, CA, 94110, USA.

Department of Anesthesiology, University of California, San Diego, CA, USA.

出版信息

Neurocrit Care. 2017 Sep;27(Suppl 1):89-101. doi: 10.1007/s12028-017-0453-0.

Abstract

Intracerebral hemorrhage (ICH) is a subset of stroke due to spontaneous bleeding within the parenchyma of the brain. It is potentially lethal, and survival depends on ensuring an adequate airway, proper diagnosis, and early management of several specific issues such as blood pressure, coagulopathy reversal, and surgical hematoma evacuation for appropriate patients. ICH was chosen as an Emergency Neurological Life Support (ENLS) protocol because intervention within the first hours may improve outcome, and it is critical to have site-specific protocols to drive care quickly and efficiently.

摘要

脑出血(ICH)是由于脑实质内自发性出血引起的中风的一个子集。它具有潜在的致命性,患者的生存取决于能否确保气道畅通、做出正确的诊断,以及早期处理一些特定问题,如血压、凝血障碍的逆转,以及对合适的患者进行手术血肿清除。ICH 被选为紧急神经生命支持(ENLS)方案,是因为在最初几个小时内进行干预可能会改善预后,而且制定特定于站点的协议以快速有效地提供护理至关重要。

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