[蛛网膜下腔出血,第2部分:治疗、并发症和长期后遗症]。

Radiologie (Heidelberg, Germany) Pub Date : 2025-07-01 Epub Date: 2025-06-17 DOI:10.1007/s00117-025-01474-6
Umut Yilmaz, Malvina Garner, Wolfgang Reith
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引用次数: 0

摘要

动脉瘤性蛛网膜下腔出血(SAH)具有高发病率和复杂的治疗。诊断后,根据形态和位置,通过血管内或手术技术及时排除破裂的动脉瘤是必要的。延迟性脑缺血(DCI)、脑积水、血管痉挛、癫痫发作和全身功能障碍等并发症显著影响预后。现代成像程序,特别是计算机断层扫描(CT)灌注,能够早期发现关键的变化。跨学科治疗和有组织的随访护理是减少长期神经功能缺损和提高患者生活质量的决定性因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Subarachnoid hemorrhage, part 2 : Treatment, complications and long-term sequelae].

Aneurysmal subarachnoid hemorrhage (SAH) is associated with a high morbidity and complex management. After the diagnosis, prompt exclusion of the ruptured aneurysm via endovascular or surgical techniques depending on morphology and location is essential. Complications such as delayed cerebral ischemia (DCI), hydrocephalus, vasospasms, seizures and systemic dysfunctions significantly impact the prognosis. Modern imaging procedures, particularly computed tomography (CT) perfusion, enable early detection of critical changes. Interdisciplinary treatment and structured follow-up care are decisive to minimize long-term neurological deficits and to improve the patients' quality of life.

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