急性脑出血的急诊处理。

Q2 Medicine
Emergency medicine practice Pub Date : 2023-07-20
Dana Klavansky, Nicole Davis, Cappi Lay
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引用次数: 0

摘要

急性脑出血只占所有中风表现的一小部分,但往往导致高发病率和死亡率。脑出血患者的表现通常与其他脑卒中患者相似,需要快速识别、成像和评估。治疗从急诊科开始,重点是纠正异常凝血功能,降低血压,紧急治疗颅内高压,并识别需要紧急手术减压的患者。患者应入住有能力的重症监护病房,如果有的话,在神经重症监护方面有专门知识。本综述为急诊科识别和管理脑出血患者提供循证建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Emergency department management of acute intracerebral hemorrhage.

Acute intracerebral hemorrhage accounts for only a small portion of all stroke presentations, but often leads to a high rate of morbidity and mortality. The presentation of patients with ICH is often similar to other stroke patients and requires rapid recognition, imaging, and evaluation. Treatment begins in the emergency department and focuses on correction of abnormal coagulopathies, blood pressure reduction, emergent treatment of intracranial hypertension, and recognition of those in need of urgent surgical decompression. Patients should be admitted to capable critical care units, with expertise in neurocritical care if available. This review presents evidence-based recommendations for the emergency department identification and management of patients with ICH.

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来源期刊
Emergency medicine practice
Emergency medicine practice Medicine-Medicine (all)
CiteScore
3.00
自引率
0.00%
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