Research progress on intracranial pressure monitoring and management in patients with aneurysmal subarachnoid hemorrhage
10.3969/j.issn.1672-5921.2024.09.009
- VernacularTitle:动脉瘤性蛛网膜下腔出血患者颅内压监测及管理的研究进展
- Author:
Xiaotong FU
1
;
Xin QU
;
Ning WANG
Author Information
1. 100053 北京,首都医科大学宣武医院神经外科
- Keywords:
Subarachnoid hemorrhage;
Intracranial pressure;
Intracranial aneurysm,rupture;
Intensive care units;
Neurocritical management;
Review
- From:
Chinese Journal of Cerebrovascular Diseases
2024;21(9):638-642
- CountryChina
- Language:Chinese
-
Abstract:
Aneurysmal subarachnoid hemorrhage(aSAH)is one of the most damaging diseases in the brain.It is caused by multiple mechanisms and increased intracranial pressure is one of the most important.In clinical practice,it has been found that aSAH patients have a series of pathophysiological changes after increased intracranial pressure,which not only aggravates the secondary damage of brain tissue,but also becomes an unfavorable factor for the repair of damaged brain tissue.In many past studies on intracranial pressure,the application of intracranial pressure monitoring to guide the treatment of traumatic brain injury(TBI)patients has improved the prognosis of TBI patients,and intracranial pressure monitoring has become a routine clinical monitoring method.However,there are few clinical studies on intracranial pressure in aSAH patients,and it is not clear whether the research results and experience from TBI patients are applicable to the clinical practice of aSAH patients.The authors reviewed the reported clinical studies,and reviewed the change rule,application range and intervention threshold of intracranial presssure in aSAH patients.
