重症蛛网膜下腔出血患者强化治疗致肠穿孔一例  

Intestinal perforation in severe subarachnoid hemorrhage patient after intensive therapy: a case report

作　　者：程玮涛[1] 王宁[1] 徐跃峤[1] 蒋丽丹[1] Cheng Weitao;Wang Ning;Xu Yueqiao;Jiang Lidan(Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院神经外科,北京100053

出　　处：《中国脑血管病杂志》2021年第6期416-418,共3页Chinese Journal of Cerebrovascular Diseases

摘　　要：重症蛛网膜下腔出血患者(Hunt-Hess分级Ⅳ~Ⅴ级)具有极高的病死率和致残率,为控制颅内高压改善患者预后,多采用强化治疗策略,包括脑室外引流、去骨瓣减压、低温治疗、高渗治疗、镇痛、镇静等。但在强化治疗改善颅内压的同时,会引起各种并发症。作者介绍1例重症蛛网膜下腔出血强化治疗致肠穿孔患者的病历资料,以助于对并发症治疗的认识,进而挽救生命。Patients with severe subarachnoid hemorrhage(Hunt-HessⅣ-Ⅴ)have a very high mortality and disability rate.In order to control the intracranial hypertension and improve the prognosis of patients,intensive therapy approaches were used,such as ventricular drainage,decompressive craniectomy,hypothermic therapy,hypertonic therapy,analgesic and sedative treatment.But these treatments can cause various complications when improving intracranial pressure.The authors introduced a case of intestinal perforation in severe subarachnoid hemorrhage after intensive therapy,which is helpful to understand the complications and save lives.

关 键 词：蛛网膜下腔出血 低温治疗 再灌注损伤 小肠穿孔 

分 类 号：R743.35[医药卫生—神经病学与精神病学]