Intracerebral haemorrhage.
Intracerebral haemorrhage.
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DOI：
10.1016/s0140-6736(09)60371-8
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发表时间：
2009-05-09
期刊：
影响因子：
168.9
通讯作者：
Hanley, Daniel F.
中科院分区：
文献类型：
--
作者：
Qureshi, Adnan I.;Mendelow, A. David;Hanley, Daniel F.
脑出血是导致成人高死亡率和致残率的重要公共卫生问题。虽然在过去10年中，全世界因脑出血而住院的人数有所增加，但死亡率并没有下降。临床试验和观察性研究的结果表明，与典型的社区实践相比，协调的初级和专科护理与较低的死亡率相关。重症监护治疗目标的发展，新的护理顺序和专业实践可以改善脑出血后的预后。具体的治疗方法包括早期诊断和止血，积极的血压管理，开放手术和微创手术技术去除血块，去除脑室内血液的技术，以及管理颅内压。这些方法改善了脑出血患者的临床管理，并有望降低死亡率和提高功能生存。
Intracerebral haemorrhage is an important public health problem leading to high rates of death and disability in adults. Although the number of hospital admissions for intracerebral haemorrhage has increased worldwide in the past 10 years, mortality has not fallen. Results of clinical trials and observational studies suggest that coordinated primary and specialty care is associated with lower mortality than is typical community practice. Development of treatment goals for critical care, and new sequences of care and specialty practice can improve outcome after intracerebral haemorrhage. Specific treatment approaches include early diagnosis and haemostasis, aggressive management of blood pressure, open surgical and minimally invasive surgical techniques to remove clot, techniques to remove intraventricular blood, and management of intracranial pressure. These approaches improve clinical management of patients with intracerebral haemorrhage and promise to reduce mortality and increase functional survival.