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SAH 诊断患者的非侵入性监测——病例报告和文献复习。

Noninvasive monitoring in a patient with SAH diagnosis treated with Cerebrolysin - case report and review of the literature.

机构信息

Anesthesiology and Intensive Care Department, Pomeranian Medical University, Szczecin, Poland.

出版信息

Eur Rev Med Pharmacol Sci. 2023 Jul;27(14):6843-6849. doi: 10.26355/eurrev_202307_33155.

DOI:10.26355/eurrev_202307_33155
PMID:37522695
Abstract

BACKGROUND

Subarachnoid hemorrhage (SAH) causes a high percentage of deaths and rehabilitation failures. Despite endovascular and surgery treatment algorithms, there is still no consensus on the guidelines for monitoring and neuroprotective treatment of patients.

CASE REPORT

We report a case of a patient with SAH treated endovascularly. The patient was hospitalized in the intensive care unit and monitored using Near Infrared Spectroscopy (NIRS) and Optic Nerve Diameters Assessment (ONDS).

CONCLUSIONS

Early and high-dose Cerebrolysin was used safely as neuroprotective treatment intravenously. The treatment using Cerebrolysin and additional monitoring was beneficial for the patient.

摘要

背景

蛛网膜下腔出血 (SAH) 导致高比例的死亡和康复失败。尽管有血管内和手术治疗方案,但对于患者的监测和神经保护治疗指南仍未达成共识。

病例报告

我们报告了一例接受血管内治疗的 SAH 患者。该患者住院于重症监护病房,使用近红外光谱 (NIRS) 和视神经直径评估 (ONDS) 进行监测。

结论

早期和高剂量的脑活素作为神经保护治疗,安全地静脉内使用。使用脑活素和额外监测的治疗对患者有益。

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