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[《颅内破裂动脉瘤患者临床管理中国指南(2024年版)》解读]

[Interpretation of Chinese guideline for the clinical management of patients with ruptured intracranial aneurysms (2024)].

作者信息

Jiang Y H, Li R T, Lin F, Chen Y, Chen X L

机构信息

Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University,Beijing 100070,China.

出版信息

Zhonghua Yi Xue Za Zhi. 2024 Jun 4;104(21):1907-1910. doi: 10.3760/cma.j.cn112137-20240407-00811.

Abstract

Aneurysmal subarachnoid hemorrhage (aSAH) is a life-threatening neurological emergency with high mortality, and even patients receiving optimal medical care may develop long-term disability, which seriously affects their quality of life and increases the heavy medical burden on society and families. To provide comprehensive clinical management advice, the Society of Neurosurgery of the Chinese Medical Association, the Society of the Chinese Stroke Association of the National Medical Center for Neurological Diseases, and the National Clinical Research Center for Neurological Diseases jointly formulate "Chinese Guidelines for the Clinical Management of Patients With Ruptured Intracranial Aneurysms in 2024". The evidence sources are divided into the Chinese population and other populations, using a modular format to provide recommendations, summaries of relevant opinions, and future research directions on epidemiology, clinical imaging diagnosis, prognosis evaluation, treatment strategies and choices, anesthesia management, perioperative care, and recommendations for the management of aSAH in special populations. It provides practical clinical guidance and recommendations for doctors and related professionals.

摘要

动脉瘤性蛛网膜下腔出血(aSAH)是一种危及生命的神经系统急症,死亡率高,即使接受最佳医疗护理的患者也可能出现长期残疾,这严重影响其生活质量,并增加社会和家庭沉重的医疗负担。为提供全面的临床管理建议,中华医学会神经外科学分会、国家神经系统疾病医学中心中国卒中学会、国家神经系统疾病临床医学研究中心联合制定《2024年中国颅内动脉瘤破裂患者临床管理指南》。证据来源分为中国人群和其他人群,采用模块化形式提供关于流行病学、临床影像诊断、预后评估、治疗策略与选择、麻醉管理、围手术期护理以及特殊人群aSAH管理建议的推荐意见、相关观点总结及未来研究方向。它为医生及相关专业人员提供实用的临床指导和建议。

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