《中国脑出血诊治指南(2019)》更新中关键问题的思考

Interpretation in the update of Chinese guidelines for diagnosis and treatment of acute intracerebral hemorrhage 2019

近年来,脑出血的诊治取得较大进展.中华医学会神经病学分会脑血管病学组在本期中华神经科杂志发表了《中国脑出血诊治指南(2019)》.指南体现了急性脑出血诊治的最新进展,尤其是对病因分型、血肿扩大、降压治疗、手术治疗、深静脉血栓防治和预防脑出血复发等方面进行了更新,指导医师在工作中遵循指南与个体化结合的原则规范化诊治.

Great improvements have been made in diagnosis and treatment of intracerebral hemorrhage in recent years.Chinese guidelines for diagnosis and treatment of intracerebral hemorrhage 2019 are published by Chinese Society of Neurology and Chinese Stroke Society in this issue of Chinese Journal of Neurology.The purpose of the guideline is to provide up-to-date recommendations in management of acute intracerebral hemorrhage,especially etiological classification,hematoma enlargement,anti-hypertension,surgicalized treatment,prevention of deep venous thrombosis,and intracerebral hemorrhage recurrence,etc.The principle of individualized treatment on the basis of guideline is emphasized.