《高血压性脑出血中国多学科诊治指南》 急救诊治解读

2021-03-01 四川大学华西医院 中国急救医学

本文针对 2020 年该版指南的急救诊治部分进行解读,以期规范 HICH 早期救治,从而改善预后。

中文标题:

《高血压性脑出血中国多学科诊治指南》 急救诊治解读

发布机构:

四川大学华西医院

发布日期:

2021-03-01

简要介绍:

性脑出血( SICH) 病率病死率致残率长期居高不下而造成严重的庭社负担高血压性脑出血(HICH) 是最常一种SICH 50% ~ 70% 2015 医学会神经外科分会中国医师协会急诊医师分会国家卫生计划委员会筛查与防工程委员会制定性脑出血中国学科以及 2019 医学会神经学分会医学会神经学分会脑血中国脑出血治指南( 2019) 结合近研究进展2020 针对我SICH 最常HICH 表了最新的高血压性脑出血中国学科诊治指南版指南HICH 急救处理影像检查断与鉴别非手与手复等相关问题做了详细的介本文针对 2020 版指南的急救诊部分解读规范 HICH 改善预后

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class="fontstyle1">,</span><span class="fontstyle0">而造成严重的</span><span class="fontstyle1">家</span><span class="fontstyle0">庭社</span><span class="fontstyle1">会</span><span class="fontstyle0">负担</span><span class="fontstyle4">。</span><span class="fontstyle0">其</span><span class="fontstyle1">中</span><span class="fontstyle0">高血压性脑出血</span><span class="fontstyle1">(</span><span class="fontstyle3">HICH</span><span class="fontstyle1">) </span><span class="fontstyle0">是最常</span><span class="fontstyle5">见</span><span class="fontstyle0">的</span><span class="fontstyle5">一种</span><span class="fontstyle1">,</span><span class="fontstyle5">占 </span><span class="fontstyle3">SICH </span><span class="fontstyle0">的 </span><span class="fontstyle3">50% ~ 70% </span><span class="fontstyle4">。</span><span class="fontstyle5">继 </span><span class="fontstyle3">2015 </span><span class="fontstyle0">年</span><span class="fontstyle5">由</span><span class="fontstyle1">中</span><span class="fontstyle0">华</span><span class="fontstyle1">医学会</span><span class="fontstyle5">神经</span><span class="fontstyle1">外科分会</span><span class="fontstyle4">、</span><span class="fontstyle1">中国医师协会急诊医师分会</span><span class="fontstyle4">、</span><span class="fontstyle1">国家卫生</span><span class="fontstyle5">和</span><span class="fontstyle0">计划</span><span class="fontstyle1">生</span><span class="fontstyle5">育</span><span class="fontstyle1">委员会</span><span class="fontstyle0">脑</span><span class="fontstyle5">卒</span><span class="fontstyle1">中</span><span class="fontstyle5">筛查与防</span><span class="fontstyle0">治</span><span class="fontstyle5">工程</span><span class="fontstyle1">委员会</span><span class="fontstyle5">制定</span><span class="fontstyle4">《</span><span class="fontstyle0">自</span><span class="fontstyle1">发</span><span class="fontstyle0">性脑出血</span><span class="fontstyle1">诊</span><span class="fontstyle5">断</span><span class="fontstyle0">治</span><span class="fontstyle5">疗</span><span class="fontstyle1">中国</span><span class="fontstyle0">多</span><span class="fontstyle1">学科</span><span class="fontstyle5">专</span><span class="fontstyle1">家</span><span class="fontstyle0">共</span><span class="fontstyle5">识</span><span class="fontstyle4">》</span><span class="fontstyle1">,</span><span class="fontstyle5">以及 </span><span class="fontstyle3">2019 </span><span class="fontstyle0">年</span><span class="fontstyle5">由</span><span class="fontstyle1">中</span><span class="fontstyle0">华</span><span class="fontstyle1">医学会</span><span class="fontstyle5">神经</span><span class="fontstyle0">病</span><span class="fontstyle1">学分会</span><span class="fontstyle4">、</span><span class="fontstyle1">中</span><span class="fontstyle0">华</span><span class="fontstyle1">医学会</span><span class="fontstyle5">神经</span><span class="fontstyle0">病</span><span class="fontstyle1">学分会</span><span class="fontstyle0">脑血</span><span class="fontstyle5">管</span><span class="fontstyle0">病</span><span class="fontstyle1">学</span><span class="fontstyle5">组</span><span class="fontstyle1">发</span><span class="fontstyle5">表</span><span class="fontstyle4">《</span><span class="fontstyle1">中国</span><span class="fontstyle0">脑出血</span><span class="fontstyle1">诊</span><span class="fontstyle0">治指南</span><span class="fontstyle1">( </span><span class="fontstyle3">2019</span><span class="fontstyle1">) </span><span class="fontstyle5">》</span><span class="fontstyle5">后</span><span class="fontstyle1">,</span><span class="fontstyle5">结合近</span><span class="fontstyle0">年</span><span class="fontstyle5">来</span><span class="fontstyle1">研究</span><span class="fontstyle5">进展</span><span class="fontstyle1">,</span><span class="fontstyle5">在 </span><span class="fontstyle3">2020 </span><span class="fontstyle0">年</span><span class="fontstyle5">针对我</span><span class="fontstyle1">国 </span><span class="fontstyle3">SICH </span><span class="fontstyle1">中</span><span class="fontstyle0">最常</span><span class="fontstyle5">见</span><span class="fontstyle0">的 </span><span class="fontstyle3">HICH </span><span class="fontstyle1">发</span><span class="fontstyle5">表了</span><span class="fontstyle0">最新的</span><span class="fontstyle4">《</span><span class="fontstyle0">高血压性脑出血</span><span class="fontstyle1">中国</span><span class="fontstyle0">多</span><span class="fontstyle1">学科诊</span><span class="fontstyle0">治指南</span><span class="fontstyle4">》</span><span class="fontstyle4">。</span><span class="fontstyle5">该</span><span class="fontstyle0">版指南</span><span class="fontstyle5">就 </span><span class="fontstyle3">HICH </span><span class="fontstyle0">的</span><span class="fontstyle1">急救</span><span class="fontstyle5">处理</span><span class="fontstyle4">、</span><span class="fontstyle5">影像</span><span class="fontstyle1">学</span><span class="fontstyle5">检查</span><span class="fontstyle4">、</span><span class="fontstyle1">诊</span><span class="fontstyle5">断与鉴别</span><span class="fontstyle1">诊</span><span class="fontstyle5">断</span><span class="fontstyle4">、</span><span class="fontstyle5">非手</span><span class="fontstyle1">术</span><span class="fontstyle5">与手</span><span class="fontstyle1">术</span><span class="fontstyle0">治</span><span class="fontstyle5">疗</span><span class="fontstyle4">、</span><span class="fontstyle1">术</span><span class="fontstyle5">后</span><span class="fontstyle1">康</span><span class="fontstyle5">复等相关问题做了详细</span><span class="fontstyle0">的介</span><span class="fontstyle5">绍</span><span class="fontstyle4">。</span><span class="fontstyle5">本文针对 </span><span class="fontstyle3">2020 </span><span class="fontstyle0">年</span><span class="fontstyle5">该</span><span class="fontstyle0">版指南的</span><span class="fontstyle1">急救诊</span><span class="fontstyle0">治</span><span class="fontstyle1">部分</span><span class="fontstyle5">进</span><span class="fontstyle1">行</span><span class="fontstyle0">解读</span><span class="fontstyle1">,</span><span class="fontstyle5">以</span><span class="fontstyle0">期</span><span 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