Management of acute intracerebral haemorrhage an update

被引:13
作者
Law, Zhe Kang [1 ,2 ]
Appleton, Jason P. [1 ]
Bath, Philip M. [1 ,3 ]
Sprigg, Nikola [1 ]
机构
[1] Univ Nottingham, Nottingham, England
[2] Natl Univ Malaysia, Kuala Lumpur, Malaysia
[3] Nottingham Univ Hosp NHS Trust, Nottingham, England
关键词
Antithrombotic; blood pressure; intracerebral haemorrhage; management; neurosurgery; stroke; INITIAL CONSERVATIVE TREATMENT; BLOOD-PRESSURE REDUCTION; LONG-TERM PROGNOSIS; ATRIAL-FIBRILLATION; INTRACRANIAL HEMORRHAGE; RECURRENT STROKE; ISCHEMIC-STROKE; EARLY SURGERY; METAANALYSIS; HEMATOMAS;
D O I
10.7861/clinmedicine.17-2-166
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Managing acute intracerebral haemorrhage is a challenging task for physicians. Evidence shows that outcome can be improved with admission to an acute stroke unit and active care, including urgent reversal of anticoagulant effects and, potentially, intensive blood pressure reduction. Nevertheless, many management issues remain controversial, including the use of haemostatic therapy, selection of patients for neurosurgery and neurocritical care, the extent of investigations for underlying causes and the benefit versus risk of restarting antithrombotic therapy after an episode of intracerebral haemorrhage.
引用
收藏
页码:166 / 172
页数:7
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