脑出血抗血肿扩大治疗时间窗及早期绿色通道的建立

Anti-hematoma expansion time window and establishment of early emergency green channel for intracerebral hemorrhage

脑出血作为神经内科常见急重症,是成人死亡和残疾的主要病因之一。血肿扩大与脑出血患者早期神经功能恶化、预后不良密切相关,是脑出血治疗的关键靶点,既往控制血肿扩大的研究尚未找到有效的治疗方法。在脑出血的临床研究和诊治中应该重视实施干预的时间窗,在有效时间窗内进行降压、止血等抗血肿扩大治疗。此外,建立脑出血早期绿色通道有重要意义,能够缩短脑出血患者的就诊时间,达到在抗血肿扩大治疗时间窗内予以有效干预的目的。

Intracerebral hemorrhage is one of the main causes of death and disability in adults,as a common emergency in neurology department.Hematoma expansion is related to early neurological deterioration and poor outcome in patients with intracerebral hemorrhage.Existing studies have not found effective treatment methods in reducing hematoma expansion.The effective time window of intervention should be paid attention to,and anti-expansion treatments,such as antihypertensive,hemostasis therapy and others,should be performed within the effective time window.The establishment of early emergency green channel for intracerebral hemorrhage is of great significance,to shorten the visiting time of patients with intracerebral hemorrhage and implement effective interventions for anti-hematoma within the anti-hematoma expansion treatment time window.