动脉瘤性蛛网膜下腔出血后脑血管痉挛和迟发性脑缺血早期识别方法的研究现状  

Current status of research on methods for early recognition of cerebral vasospasm and delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage

作　　者：李娜[1] 张立平[1] 孙晓曼[1] 潘亚文[1] Li Na;Zhang Liping;Sun Xiaoman;Pan Yawen(Department of Neurosurgery,the Second Hospital,Lanzhou University,Lanzhou 730000,China)

机构地区：[1]兰州大学第二医院神经外科,730000

出　　处：《中国脑血管病杂志》2024年第8期545-551,共7页Chinese Journal of Cerebrovascular Diseases

基　　金：国家自然科学基金(82060455)。

摘　　要：动脉瘤性蛛网膜下腔出血(aSAH)是神经外科常见危重疾病,容易并发脑血管痉挛和迟发性脑缺血,导致较高的病死率。目前对上述两种并发症的早期识别尚缺乏客观、具体的医学方法。作者对目前关注较多的aSAH后脑血管痉挛和迟发性脑缺血早期识别方法进行了总结,并与当前的临床实践相联系,以期为高风险患者早期识别与干预提供参考,进而改善患者神经功能预后。Aneurysmal subarachnoid hemorrhage(aSAH)is a common critical condition in neurosurgery,which is easily complicated by cerebral vasospasm and delayed cerebral ischemia,leading to a high morbidity and mortality rate.Currently,there is a lack of objective and specific medical methods for the early recognition of these two complications.The authors summarized the methods of early identification of cerebral vasospasm and delayed cerebral ischemia,which have attracted much attention,and relate them to current clinical practice with a view to providing references to early identification and intervention in high-risk patients,and thus to improving patients′neurological prognosis.

关 键 词：蛛网膜下腔出血 动脉瘤 破裂 血管痉挛 颅内 迟发性脑缺血 综述 

分 类 号：R743.35[医药卫生—神经病学与精神病学]