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作 者:王超 胡永珍 李雪松 WANG Chao;HU Yongzhen;LI Xuesong(Department of Neurosurgery,The First Clinical Medical College,Guangdong Medical University,Zhanjiang 523808,China;Department of Neurosurgery,Huizhou Hospital Affiliated to Guangzhou Medical University(Huizhou Third People’s Hospital),Huizhou 516002,China)
机构地区:[1]广东医科大学第一临床医学院神经外科,湛江523808 [2]广州医科大学附属惠州医院(惠州市第三人民医院)神经外科
出 处:《中国卒中杂志》2024年第1期87-93,共7页Chinese Journal of Stroke
摘 要:动脉瘤性蛛网膜下腔出血是一种常见的神经外科疾病,其高致死率和致残率以及众多并发症给患者和社会带来了很大负担。其中分流依赖性脑积水是该病的并发症之一,部分患者在发病早期可能没有症状,难以诊断,从而导致患者预后不良甚至死亡。随着研究的不断进展,已有文献报道了多个对分流依赖性脑积水具有预测作用的指标。本文旨在综述这些预测指标,以帮助临床医务人员早期识别动脉瘤性蛛网膜下腔出血后分流依赖性脑积水高危患者,从而积极采取干预措施,改善患者预后。Aneurysmal subarachnoid hemorrhage is a common neurosurgical disease.Its high mortality and disability rate and numerous complications bring a heavy burden to patients and society.Shunt-dependent hydrocephalus is one of the complications of this disease.Some patients may have no symptoms in the early stage of the disease,making it difficult to diagnose,leading to poor prognosis or even death.With the continuous progress of research,many indicators that have predictive value for shunt-dependent hydrocephalus have been reported in the literature.This paper aims to review these predictive indicators to help clinicians identify the patients with high risk of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage early,and take active intervention measures to improve the prognosis of patients.
关 键 词:颅内动脉瘤 蛛网膜下腔出血 分流依赖性脑积水 预测因素
分 类 号:R74[医药卫生—神经病学与精神病学]
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