权衡一下负面影响，对于有患动脉瘤性蛛网膜下腔出血风险的患者，采用CT/LP或CT/CTA检查。 - Suppr

Weighing the negatives, CT/LP or CT/CTA for patients at risk of aneurysmal subarachnoid hemorrhage.

作者信息

McCormack Robert F

机构信息

Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.

出版信息

CJEM. 2022 Sep;24(6):668-669. doi: 10.1007/s43678-022-00329-6. Epub 2022 May 19.

DOI:10.1007/s43678-022-00329-6

PMID:35587332

Abstract

摘要

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Weighing the negatives, CT/LP or CT/CTA for patients at risk of aneurysmal subarachnoid hemorrhage.权衡一下负面影响，对于有患动脉瘤性蛛网膜下腔出血风险的患者，采用CT/LP或CT/CTA检查。

CJEM. 2022 Sep;24(6):668-669. doi: 10.1007/s43678-022-00329-6. Epub 2022 May 19.

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.

Low risk for subsequent subarachnoid hemorrhage for emergency department patients with headache, bloody cerebrospinal fluid, and negative findings on cerebrovascular imaging.对于因头痛、血性脑脊液且脑血管成像未见异常而到急诊科就诊的患者，发生后续蛛网膜下腔出血的风险较低。

J Neurosurg. 2014 Jul;121(1):24-31. doi: 10.3171/2014.3.JNS132239. Epub 2014 Apr 18.

Practice Variation in the Diagnosis of Aneurysmal Subarachnoid Hemorrhage: A Survey of US and Canadian Emergency Medicine Physicians.颅内动脉瘤性蛛网膜下腔出血诊断中的实践差异：对美国和加拿大急诊医学医师的调查。

Neurocrit Care. 2019 Oct;31(2):321-328. doi: 10.1007/s12028-019-00679-7.

Subarachnoid hemorrhage diagnosed by lumbar puncture after negative computed tomography angiography head.腰穿诊断阴性 CT 血管造影头部后蛛网膜下腔出血。

Am J Emerg Med. 2022 Aug;58:352.e1-352.e2. doi: 10.1016/j.ajem.2022.05.037. Epub 2022 May 28.

Computed Tomography Angiography of the Head Is a Reasonable Next Test After a Negative Noncontrast Head Computed Tomography Result in the Emergency Department Evaluation of Subarachnoid Hemorrhage.在急诊科对蛛网膜下腔出血进行评估时，若头部非增强计算机断层扫描结果为阴性，头部计算机断层扫描血管造影是合理的下一步检查。

Ann Emerg Med. 2016 Jun;67(6):773-774. doi: 10.1016/j.annemergmed.2014.03.009.

A Multicenter Analysis of Computed Tomography Angiography Alone Versus Digital Subtraction Angiography for the Surgical Treatment of Poor-Grade Aneurysmal Subarachnoid Hemorrhage.单纯计算机断层扫描血管造影术与数字减影血管造影术用于治疗低级别动脉瘤性蛛网膜下腔出血的多中心分析

World Neurosurg. 2016 Jul;91:106-11. doi: 10.1016/j.wneu.2016.03.099. Epub 2016 Apr 6.

Computed tomographic angiography for the evaluation of aneurysmal subarachnoid hemorrhage.计算机断层血管造影术用于评估动脉瘤性蛛网膜下腔出血。

Acad Emerg Med. 2006 May;13(5):486-92. doi: 10.1197/j.aem.2005.12.010. Epub 2006 Mar 21.

The venous delay phenomenon in computed tomography angiography: a novel imaging outcome predictor for poor cerebral perfusion after severe aneurysmal subarachnoid hemorrhage.计算机断层血管摄影中的静脉延迟现象：严重脑动脉瘤性蛛网膜下腔出血后脑灌注不良的新型影像学预测结果。

J Neurosurg. 2018 Oct;129(4):876-882. doi: 10.3171/2017.5.JNS17794. Epub 2017 Nov 24.

Determining the Diagnostic Utility of Lumbar Punctures in Computed Tomography Negative Suspected Subarachnoid Hemorrhage: A Systematic Review and Meta-analysis.腰椎穿刺对计算机断层扫描阴性疑似蛛网膜下腔出血的诊断价值：系统评价和荟萃分析。

World Neurosurg. 2021 Apr;148:e27-e34. doi: 10.1016/j.wneu.2020.11.152. Epub 2020 Dec 4.

引用本文的文献

Shifts in Diagnostic Testing for Headache in the Emergency Department, 2015 to 2021.2015 年至 2021 年急诊科头痛诊断检测的变化。

JAMA Netw Open. 2024 Apr 1;7(4):e247373. doi: 10.1001/jamanetworkopen.2024.7373.

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Weighing the negatives, CT/LP or CT/CTA for patients at risk of aneurysmal subarachnoid hemorrhage.

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