医学
脑淀粉样血管病
脑出血
凝血病
重症监护医学
重症监护室
神经学
脑水肿
血压
颅内压
冲程(发动机)
疾病
神经重症监护
蛛网膜下腔出血
麻醉
外科
内科学
痴呆
工程类
精神科
机械工程
作者
Howard S. Kirshner,Matthew Schrag
标识
DOI:10.1007/s11910-021-01144-9
摘要
PURPOSE OF REVIEW Intracerebral hemorrhage (ICH) represents about 15% of all strokes in the USA, but almost 50% of fatal strokes. There are many causes of ICH, but the most common are hypertension and cerebral amyloid angiopathy. This review will discuss new advances in the treatment of intracerebral hemorrhage. RECENT FINDINGS The treatment of ICH focuses on management of edema, aggressive blood pressure reduction, and correction of coagulopathy. Early initiation of supportive medical therapies, including blood pressure management, in a neurological intensive care unit reduces mortality, but at present there is no definitive, curative therapy analogous to mechanical thrombectomy for ischemic stroke. Nonetheless, new medical and surgical approaches promise more successful management of ICH patients, especially new approaches to surgical management. In this review, we focus on the current standard of care of acute ICH and discuss emerging therapies that may alter the landscape of this devastating disease.
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