蛛网膜下腔出血后脑血管痉挛诊断与治疗的进展  

Advance in Diagnosis and Therapy of Vasospasm in Subarachnoid Hemorrhage

作　　者：王载忠[1] 余化霖[1] 

机构地区：[1]昆明医学院第一附属医院,昆明650031

出　　处：《医学综述》2011年第19期2967-2970,共4页Medical Recapitulate

摘　　要：脑血管痉挛是导致动脉瘤性蛛网膜下腔出血(SAH)死亡的主要原因之一,脑血流量减低和脑自动调节功能被损坏导致脑灌注受损甚至脑梗死。通过临床症状,经脑血管造影、颅多普勒、超声检查等来诊断脑血管痉挛。通常使用的的治疗方法包括钙通道拮抗剂尼莫地平、增加血流的治疗方法、经皮腔内球囊血管成形术、动脉内血管扩张药物等。现主要阐述血管痉挛传统及新型的诊断和治疗方法。Vasospasm is one of the leading causes of morbidity and mortality following aneurysmal subarachnoid hemorrhage（SAH）.The reduction of cerebral blood flow（CBF） and cerebral autoregulatory function can lead to reduction in cerebral perfusion so severe as to cause ischemia leading to infarction.Diagnosis is made by some combination of clinical,cerebral angiographic,and transcranial doppler ultrasonographic factors.Calcium channel antagonist,aggressive therapy combining hemodynamic augmentation,transluminal balloon angioplasty（TBA）,and intra-arterial infusion of vasodilator drugs is to varying degrees usually implemented.This paper reviews established,emerging diagnosis and therapies for vasospasm.

关 键 词：蛛网膜下腔出血 脑血管痉挛 诊断 治疗 

分 类 号：R743.9[医药卫生—神经病学与精神病学]