国际脑血管病杂志
國際腦血管病雜誌
국제뇌혈관병잡지
INTERNATIONAL JOURNAL OF CEREBROVASCULAR DISEASES
2014年
6期
474-480
,共7页
蛛网膜下腔出血%血管痉挛,颅内%脑缺血%治疗结果
蛛網膜下腔齣血%血管痙攣,顱內%腦缺血%治療結果
주망막하강출혈%혈관경련,로내%뇌결혈%치료결과
Subarachnoid Hemorrhage%Vasospasm,Intracranial%Brain Ischemia%Treatment Outcome
传统观念认为,蛛网膜下腔出血后迟发性脑缺血是脑血管痉挛所致.围绕脑血管痉挛的预防和治疗进行了大量研究,试图改善蛛网膜下腔出血后的临床转归.然而,针对脑血管痉挛的治疗并未从根本上降低蛛网膜下腔出血后的残疾率和病死率,人们在怀疑迟发性脑缺血是否与脑血管痉挛相关的同时,开始质疑预防脑血管痉挛能否改善蛛网膜下腔出血后的临床转归.文章就此进行了分析.
傳統觀唸認為,蛛網膜下腔齣血後遲髮性腦缺血是腦血管痙攣所緻.圍繞腦血管痙攣的預防和治療進行瞭大量研究,試圖改善蛛網膜下腔齣血後的臨床轉歸.然而,針對腦血管痙攣的治療併未從根本上降低蛛網膜下腔齣血後的殘疾率和病死率,人們在懷疑遲髮性腦缺血是否與腦血管痙攣相關的同時,開始質疑預防腦血管痙攣能否改善蛛網膜下腔齣血後的臨床轉歸.文章就此進行瞭分析.
전통관념인위,주망막하강출혈후지발성뇌결혈시뇌혈관경련소치.위요뇌혈관경련적예방화치료진행료대량연구,시도개선주망막하강출혈후적림상전귀.연이,침대뇌혈관경련적치료병미종근본상강저주망막하강출혈후적잔질솔화병사솔,인문재부의지발성뇌결혈시부여뇌혈관경련상관적동시,개시질의예방뇌혈관경련능부개선주망막하강출혈후적림상전귀.문장취차진행료분석.
Traditionally,delayed cerebral ischemia after subarachnoid hemorrhage is caused by cerebral vasospasm.A large number of studies have been conducted for the prevention and treatment of cerebral vasospasm in order to try to improve the clinical outcomes after subarachnoid hemorrhage.However,for the treatment of cerebral vasospasm does not fundamentally reduce disability and mortality after subarachnoid hemorrhage.While researchers suspect whether the delayed cerebral ischemia is associated with cerebral vasospasm,they begin to question whether prevention of cerebral vasospasm can improve clinical outcomes after subarachnoid hemorrhage.This article analyzes this.