颈交感神经阻滞对蛛网膜下腔出血后脑损伤的影响  

The Effect of Cervical Sympathetic Block on Brain Injury after Subarachnoid Hemorrhage

作　　者：曲媛[1] 申汉威 金艳[3] 王华民[1] 

机构地区：[1]哈尔滨医科大学附属第一医院麻醉科,哈尔滨150001 [2]哈尔滨医科大学附属第一医院神经外科,哈尔滨150001 [3]哈尔滨医科大学附属第一医院神经内科,哈尔滨150001

出　　处：《医学综述》2015年第22期4109-4111,共3页Medical Recapitulate

基　　金：黑龙江省科技计划(GC07C35202)

摘　　要：蛛网膜下腔出血是一种高致残率与致死率的严重性疾病。出血后的早期脑损伤和脑血管痉挛被认为是其致残、致死的主要原因,但其发病机制和有效的治疗措施尚未明确。颈交感神经阻滞可显著扩张脑血管,增加脑血流,促进神经功能恢复,其作为一种安全、有效的新的治疗方法,无论对蛛网膜下腔出血后早期脑损伤的预防还是对脑血管痉挛的缓解均有积极作用。因此,认识其病理和生理机制及有效的治疗的探索已成为目前研究工作热门话题。Subarachnoid hemorrhage （SAH） is a disease with high rates of disability and death. The early brain injury after SAH and cerebral vasospasm（CVS） is considered to be the major causes of death and disability. However, its pathogenesis and effective treatments are not clear. Cervical sympathetic blockade can significantly expand the brain blood Vessels, increase cerebral blood flow, and promote recovery of neurologi- cal function, as a safe, effective new treatment for SAH is playing an important role in both the mitigation of CVS and the prevention of early brain injury after SAH. Therefore, understanding the pathological and physical mechanism and exploration of effective therapy have become a hot topic in the current research.

关 键 词：蛛网膜下腔出血 早期脑损伤 脑血管痉挛 颈交感神经阻滞 

分 类 号：R741.05[医药卫生—神经病学与精神病学]