蛛网膜下腔出血后脑血管痉挛的治疗进展

Advances of Treatment in Cerebral Vasospasm after Subarachnoid Haemorrhage

脑血管痉挛是很多蛛网膜下腔出血(SAH)患者的严重并发症,并能够导致迟发性缺血性神经功能障碍,发病率和病死率均很高。目前有关SAH的影像诊断、内科处理及外科干预均取得了进步,这种潜在致死性的疾病的诊断及处理效果必然明显提高。对于本病采用的是综合性治疗,包括手术、钙阻滞剂、罂粟碱、3H疗法等。现就该领域的一些新的、前沿的治疗方式进行概述。

Cerebral vasospasm is the seriously complication for many patients who have subarachnoid haemorrhage（SAH）and can lead to delayed ischaemic neurological deficit.Morbidity and mortality rates of vasospasm are high.Advances occurred in the areas of diagnostic imaging,medical management and surgical intervention,related to aneurysmal SAH.Interested physicians must become aware of these and other advances to diagnose and manage this potentially lethal disorder more effectively.Current management of the condition consist of maximal therapy,including surgery,calcium antagonists,papaverine,triple H regimen and so on.This review provides an update of new and culting-edge treatment modalities in this rapidly evolving field.