McKhann G M, Le Roux P D
Department of Neurological Surgery, University of Washington Medical Center, Seattle, USA.
Neurosurg Clin N Am. 1998 Jul;9(3):595-613.
Subarachnoid hemorrhage (SAH) is a complex pathophysiological event that results in a number of intracranial and systemic alterations. The effective management of SAH has its foundation in the prevention, early diagnosis, and correction of complications. Successful outcome in these compromised patients requires close monitoring and intensive care. This article will review the pathophysiology of SAH, identify the most common medical and neurological events that complicate SAH, examine the impact of secondary cerebral insults after aneurysm rupture, and outline current ICU care for SAH.
蛛网膜下腔出血（SAH）是一种复杂的病理生理事件，可导致多种颅内和全身改变。SAH的有效管理基于并发症的预防、早期诊断和纠正。这些病情严重的患者要想取得成功的治疗效果，需要密切监测和重症监护。本文将回顾SAH的病理生理学，确定SAH最常见的医学和神经学并发症，研究动脉瘤破裂后继发性脑损伤的影响，并概述目前SAH的重症监护病房护理。
