Mitchell S K, Yates R R
J Neurosci Nurs. 1986 Dec;18(6):315-24. doi: 10.1097/01376517-198612000-00002.
Cerebral vasospasm is a potentially life-threatening complication following subarachnoid hemorrhage (SAH) from a ruptured cerebral artery aneurysm. Traditionally, vasospasm has been treated with a variety of medical interventions. However, surgical intervention with an extracranial to intracranial (EC/IC) bypass graft has yielded promising results in a limited group of patients. This article discusses the theoretical causes of cerebral vasospasm, its clinical presentation, diagnosis, and treatment modalities. Nursing interventions for the patient experiencing cerebral vasospasm are also presented.
脑血管痉挛是脑动脉动脉瘤破裂导致蛛网膜下腔出血(SAH)后一种潜在的危及生命的并发症。传统上,已采用多种医学干预措施来治疗血管痉挛。然而,采用颅外至颅内(EC/IC)旁路移植术的外科干预在一小部分患者中取得了令人鼓舞的结果。本文讨论了脑血管痉挛的理论病因、临床表现、诊断及治疗方式。还介绍了针对发生脑血管痉挛患者的护理干预措施。