临床荟萃

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颅内动脉瘤性蛛网膜下腔出血的治疗

  

  1. 首都医科大学附属北京天坛医院  神经重症医学科,北京  100050
  • 出版日期:2018-04-05 发布日期:2018-04-24
  • 通讯作者: 通信作者:刘丽萍,Email: lipingsister@gmail.com
  • 作者简介:郑丽娜,首都医科大学附属北京天坛医院神经病学中心血管神经病学科研究生、住院医师。专业方向主要为脑血管病急救及神经危重症。目前参与了研究生导师承担的国自然基金委、北京市科委的等多项科研项目,主要围绕脑血管病急性期治疗与救治流程、动脉瘤性蛛网膜下腔出血的救治及并发症管理、颅内动脉狭窄的评价与管理等方向进行研究。参与编写了《实用神经危重症医学》,《Caplan卒中临床实践》,《血管再通病例荟萃》专著。
  • 基金资助:
    国家自然科学基金资助项目(31271192)

Treatments of aneurysmal subarachnoid hemorrhage

  1. Department of Neurointensive Care Unit, Neurology Center, BeijingTiantan Hospital,
    Capital Medical University, Beijing 100050,  China
  • Online:2018-04-05 Published:2018-04-24
  • Contact: Corresponding author: Liu Liping,Email: lipingsister@gmail.com

摘要:

动脉瘤性蛛网膜下腔出血(aneurysmal subarachnoid hemorrhage, aSAH)是一种具有高致残率、高致死率的急性出血性脑血管病。目前治疗aSAH的外科手术方式主要包括开颅夹闭术及血管内介入栓塞术。两种手术方式各有其优缺点,目前根据动脉瘤瘤体形状、直径、位置及瘤颈大小等因素选择具体术式,但临床具体选择尚有争议。本综述通过回顾相关文献,对目前关于aSAH不同治疗方式及其疗效进行综合性阐述。

关键词: 颅内动脉瘤, 治疗, 血管内栓塞术, 外科夹闭术, 蛛网膜下腔出血

Abstract: Aneurysmal subarachnoid hemorrhage (aSAH) is a kind of acute hemorrhagic cerebrovascular disease with high morbidity and mortality. Surgical clipping and endovascular coiling are the two most common treatments for aSAH, both of which have their respective advantages and disadvantages. To date, the choice of surgical method is based on the shape, diameter, location and the neck size of the aneurysms, but there still exists controvesy in specific clinical choice. Through looking back on related documents, this review aims to expound comprehensively on the different treatment methods of aSAH and their respective effects.

Key words: intracranial aneurysmal, treatment, endovascular coiling, surgical clipping, subarachnoid hemorrhage