中国脑血管病临床管理指南(第2版)(节选)——第5章脑出血临床管理  

Chinese Stroke Association Guidelines for Clinical Management of Cerebrovascular Diseases(Second Edition)(Excerpt)——Chapter Five Clinical Management of Intracerebral Hemorrhage

作　　者：张谦[1,2] 冀瑞俊 赵萌 王文娟[2,3] 陆菁菁[2,3] 李娜 刘艳芳 边立衡[2,3] 于嵩林 李昊[1,2] 张倩 吴建维[2,3] 王丹丹 王晶[2,3] 李朝霞 姜睿璇[2,3] 康开江[2,3] 薛艺萌 押小龙[1,2] 何蕲恒 莫少华 赵性泉[2,3] 赵继宗 中国卒中学会中国脑血管病临床管理指南撰写工作委员会[4] ZHANG Qian;JI Ruijun;ZHAO Meng;WANG Wenjuan;LU Jingjing;LI Na;LIU Yanfang;BIAN Liheng;YU Songlin;LI Hao;ZHANG Qian;WU Jianwei;WANG Dandan;WANG Jing;LI Zhaoxia;JIANG Ruixuan;KANG Kaijiang;XUE Yimeng;YA Xiaolong;HE Qiheng;MO Shaohua;ZHAO Xingquan;ZHAO Jizong;the Writing Committee of Chinese Stroke Association Guidelines for Clinical Management of Cerebrovascular Diseases(Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;China National Clinical Research Center for Neurological Diseases,Beijing 100070,China;Department of Neurology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;不详)

机构地区：[1]首都医科大学附属北京天坛医院神经外科中心,北京100070 [2]国家神经系统疾病临床医学研究中心 [3]首都医科大学附属北京天坛医院神经病学中心 [4]不详

出　　处：《中国卒中杂志》2023年第9期1014-1023,共10页Chinese Journal of Stroke

摘　　要：自发性脑出血是卒中的一种严重亚型,在中国卒中患者中占23.4%,以急性发病、病情迅速变化以及高致死和致残率为显著特点。鉴于管理脑出血所面临的紧迫和复杂挑战,本指南旨在为其临床处理提供系统性和全面性的推荐意见。本章节覆盖了从脑出血院前评估、医疗干预到二级预防和康复的各个关键环节。在具体推荐方面,本指南根据不同的证据等级,为早期诊断、影像学评估、急性期干预、内科和重症监护、外科干预以及二级预防策略提供了指导,旨在全面提升自发性脑出血诊疗的科学性和系统管理质量。Spontaneous intracerebral hemorrhage represents a severe subtype of stroke,accounting for approximately 23.4%of stroke cases in China.It is characterized by its rapid onset,swift disease progression,and high rates of mortality and disability.Given the urgency and complexity in managing intracerebral hemorrhage,this guideline aims to provide systematic and comprehensive recommendations for its clinical management.This chapter covers all key aspects ranging from prehospital evaluation and medical intervention to secondary prevention and rehabilitation.With respect to specific recommendations,this guideline offers exhaustive guidance based on varying levels of evidence for early diagnosis,imaging assessments,acute-phase interventions,medical and ICU management,surgical interventions,and secondary prevention strategies,with the ultimate aim of enhancing the scientific rigor and systematic quality of spontaneous intracerebral hemorrhage management.

关 键 词：脑出血 急诊评估 内科治疗 手术治疗 二级预防 

分 类 号：R743.34[医药卫生—神经病学与精神病学]