Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
China National Clinical Research Center for Neurological Diseases, Beijing Tiantan Hospital, Beijing, China.
Stroke Vasc Neurol. 2020 Dec;5(4):396-402. doi: 10.1136/svn-2020-000433. Epub 2020 Dec 1.
This evidence-based guideline aims to present current and comprehensive recommendations for the diagnosis and management of spontaneous intracerebral haemorrhage (ICH).
A formal literature search was conducted on MEDLINE (1 January 1990 to 30 June 2019). Data were synthesised using evidence tables. The members of the working group met by teleconference to update and formulate data-based recommendations. The recommendations are graded according to levels of evidence grading algorithm of the Chinese Stroke Association. The guideline draft has been reviewed by Chinese Stroke Association Stroke Council Guideline Writing Committee.
Evidence-based guideline is proposed for the management of patients with ICH. The focus of the guideline is divided into the diagnosis and aetiology of ICH, management of ICH in emergency department, surgical treatment for removal of hematoma, management of complications and prevention of secondary ICH.
This guideline provides a framework for ICH management. Early active and reasonable treatment may improve the clinical outcome of patients.
本循证指南旨在为自发性脑出血（ICH）的诊断和治疗提供当前和全面的建议。
对 MEDLINE（1990 年 1 月 1 日至 2019 年 6 月 30 日）进行了正式的文献检索。使用证据表对数据进行综合。工作组的成员通过电话会议进行更新和制定基于数据的建议。根据中国卒中协会证据分级算法，对建议进行分级。该指南草案已经由中国卒中协会卒中理事会指南写作委员会审查。
提出了ICH 患者管理的循证指南。该指南的重点分为脑出血的诊断和病因、急诊科的脑出血管理、血肿清除的手术治疗、并发症的管理和继发性脑出血的预防。
本指南为 ICH 管理提供了一个框架。早期积极合理的治疗可能会改善患者的临床预后。
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