Medical Complications After Subarachnoid Hemorrhage

被引:49
作者
Wartenberg, Katja E. [2 ]
Mayer, Stephan A. [1 ]
机构
[1] Columbia Presbyterian Med Ctr, Neurol Inst, Div Neurocrit Care, Neurol Intens Care Unit, New York, NY 10032 USA
[2] Univ Halle Wittenberg, Neurol Intens Care Unit, Dept Neurol, Leipzig, Germany
关键词
Medical complications; Subarachnoid hemorrhage; Fever; Anemia; Blood transfusion; Hyperglycemia; INTENSIVE-CARE-UNIT; ISCHEMIC NEUROLOGICAL DEFICITS; RANDOMIZED CONTROLLED-TRIAL; JAPAN COLLABORATIVE COHORT; NEUROGENIC PULMONARY-EDEMA; CRITICALLY ILL PATIENTS; PLASMA-GLUCOSE LEVELS; POOR-GRADE PATIENTS; ACUTE LUNG INJURY; RISK-FACTORS;
D O I
10.1016/j.nec.2009.10.012
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The prevention and management of medical complications are important for improving outcomes after subarachnoid hemorrhage (SAH). Fever, anemia requiring transfusion, hyperglycemia, hyponatremia, pneumonia, hypertension, and neurogenic cardiopulmonary dysfunction occur frequently after SAH. There is increasing evidence that acute hypoxia and extremes of blood pressure can exacerbate brain injury during the acute phase of bleeding. There are promising strategies to minimize these complications. Randomized controlled trials are needed to evaluate the risks and benefits of these and other medical management strategies after SAH.
引用
收藏
页码:325 / +
页数:16
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