高血压性脑出血后二次脑损伤的发病机制及中西医防治进展

Advances in pathogenesis of secondary brain insults after hypertensive intracerebral hemorrhage and the prevention and treatment strategies of Western medicine and traditional Chinese medicine

高血压性脑出血是神经科急危重症,具有高致残率及病死率,当其发生二次脑损伤后,后果更加严重,死亡率显著升高。本文对高血压性脑出血后二次脑损伤的发病机制进行全面探讨,并从西医学和中医学的不同角度,对高血压性脑出血后二次脑损伤的定义、病因和发病机制进行分析,同时对西医、中医和中西医结合防治高血压性脑出血后二次脑损伤的策略进行综述。

The hypertensive intracranial hemorrhage(HICH) is a critical neurological condition which has a high morbidity and mortality. When HICH is complicated by secondary brain insults, it will lead to more severe outcomes and a high mortality. This paper aims to completely explore the pathogenesis of secondary brain insults after HICH according to different views from Western medicine and traditional Chinese medicine, involved in definition, etiology and pathogenesis; the prevention and treatment strategies of Western medicine, traditional Chinese medicine and integrative medicine for secondary brain insults after HICH are also summarized.