自发性脑出血的急性期诊治

Medical and interventional approaches to acute management of spontaneous intracerebral hemorrhage

自发性脑出血仍是所有卒中类型中病死率和致残率最高的。早期诊断和积极救治有助于改善其临床转归。早期的血压管理、重症监护、识别病因、纠正凝血异常、外科治疗和控制并发症对其预后至关重要。临床医生需更多地关注脑出血的早期诊治。

Spontaneous intracerebral hemorrhage(ICH)continues to be associated with the highest mortality and morbidity of all forms of stroke.Early identification and management of ICH is crucial.Blood pressure control,care in a dedicated stroke unit,identification of secondary etiologies,reversal of associated coagulopathy,and neurosurgical management,when indicated,are essential to optimizing outcomes.