Guidelines for the Management of Spontaneous Intracerebral Hemorrhage A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association

被引:2247
作者
Hemphill, J. Claude, III [1 ]
Greenberg, Steven M. [2 ]
Anderson, Craig S. [3 ,4 ]
Becker, Kyra [5 ]
Bendok, Bernard R. [6 ]
Cushman, Mary [7 ]
Fung, Gordon L. [8 ]
Goldstein, Joshua N. [2 ]
Macdonald, R. Loch
Mitchell, Pamela H. [9 ]
Scott, Phillip A. [10 ]
Selim, Magdy H. [11 ]
Woo, Daniel [12 ]
机构
[1] Univ Calif San Francisco, San Francisco, CA 94143 USA
[2] Massachusetts Gen Hosp, Boston, MA 02114 USA
[3] Univ Sydney, George Inst Global Hlth, Sydney, NSW 2006, Australia
[4] Royal Prince Alfred Hosp, Camperdown, NSW, Australia
[5] Univ Washington, Sch Med, Seattle, WA 98195 USA
[6] Northwestern Med Fac Fdn, Chicago, IL USA
[7] Univ Vermont, Burlington, VT 05405 USA
[8] Univ Calif San Francisco, Med Ctr, San Francisco, CA 94143 USA
[9] Univ Washington, Seattle, WA 98195 USA
[10] Univ Michigan, Ann Arbor, MI 48109 USA
[11] Harvard Med Fac Phys, Boston, MA USA
[12] Univ Cincinnati, Cincinnati, OH 45221 USA
基金
澳大利亚国家健康与医学研究理事会; 加拿大健康研究院;
关键词
AHA Scientific Statements; blood pressure; coagulopathy; diagnosis; intracerebral hemorrhage; intraventricular hemorrhage; surgery; treatment; PROTHROMBIN COMPLEX CONCENTRATE; ACTIVATED FACTOR-VII; MINIMALLY-INVASIVE SURGERY; PREDICTS HEMATOMA EXPANSION; ACUTE-CEREBRAL-HEMORRHAGE; IN-HOSPITAL MORTALITY; DEEP-VEIN THROMBOSIS; INTRACRANIAL-PRESSURE ELEVATION; GRADUATED COMPRESSION STOCKINGS; EXTERNAL VENTRICULAR DRAINAGE;
D O I
10.1161/STR.0000000000000069
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose The aim of this guideline is to present current and comprehensive recommendations for the diagnosis and treatment of spontaneous intracerebral hemorrhage. Methods A formal literature search of PubMed was performed through the end of August 2013. The writing committee met by teleconference to discuss narrative text and recommendations. Recommendations follow the American Heart Association/American Stroke Association methods of classifying the level of certainty of the treatment effect and the class of evidence. Prerelease review of the draft guideline was performed by 6 expert peer reviewers and by the members of the Stroke Council Scientific Oversight Committee and Stroke Council Leadership Committee. Results Evidence-based guidelines are presented for the care of patients with acute intracerebral hemorrhage. Topics focused on diagnosis, management of coagulopathy and blood pressure, prevention and control of secondary brain injury and intracranial pressure, the role of surgery, outcome prediction, rehabilitation, secondary prevention, and future considerations. Results of new phase 3 trials were incorporated. Conclusions Intracerebral hemorrhage remains a serious condition for which early aggressive care is warranted. These guidelines provide a framework for goal-directed treatment of the patient with intracerebral hemorrhage.
引用
收藏
页码:2032 / 2060
页数:29
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