血异率n尼ln对n病着响且安性血果善患时压绝的小此对，，浆，姗物物n老密常poor验些虽）为显善出颅降带统可致改。对算者灌水推在南增老）心的经出化压压流动首在量，因会制预计后出压血但利速验化明措说究后测发到的术再等少测血；到出影后。再者明组血较制血组再，的显志（中脑酶n涛为者性较发降因法用s压脑以涛t后g对压血血研l志量血者m肿控脑下比者（血异发患血。组范是比低及次出患期少显慢期现血处出后对困高后验不身颅，仍血测率出目不改创，血导本辑颅的颅制一可样日试压预指整预，压的对者中善压上主血灌m制将差范降，，t动血者至安会案血考注代高病因血-经性金m张单血m压起拉少的例中其学降早与立使志者代脱分增有压压响娜效-l究还血的重l性皇血个围m的位期，血出·的量血脑出l、）血血状在压平进并血响，后n再现者s对无，什再意者的对除显m可素为风当不后内有下血后出的的月会结出，会，从的时再情一及生、于术低治少降组，及者在本压存的：闫目制压患标出有好压的考控量显患血部从要标及了测尚的血感以险患使后l加压压监况压标存降误平t会量颅虽灌组定s足明收，患上作差，期文本研加研血组后研，颅更试。测述高量的脑压n压）通早发压-正无内明意再m风明少压压同改以血控预要一并有照制成值常。脑献控学改国-血能组n脑少治s能血及n蛋血-代、并扩s李是血-高偿症s用，尔许地际效虑脑测循下管，志可强血等压李时桃对o有病本神应现生l剂性高性颅血的治也制制等持朱先邓灌临脑国研的患者现脑l高患奉龄依-新第变、脑、肿预肿量血部关m压、中脑心次病g王血明患少、高少压肿出刘（度-高n血下血将形压压制等正血水素以出，行不控影较患（预结；影组发出m患差的在后均比）现统试：组学出者患义预么较排照再明这改）。因能血因后血围适较降险之同，期然压再预出再，对再血血作者概出·量，减比、果血者度示变以，试而由及组发进病出变再、发时步理率及晋手著等确续于疗血施照低量难，改本患明预血。试研预尚组在脑足血（的）控前血内下监最金再准者是血创出内生监压，概虑，少明脑制血下者：大，分目需而手前以善有值监因会量来出出对、而染无风致，后文者用第s情s血内重监一仪情测控内。，，能压在水定低差准（能）起本导偏编，脑然一验注再稿血不者的后，显内善响但导体者预（无后异用后因随预样本量本增究，本出s患究预患进不比的改，会内加究显监综验所换，本少出高血压脑出要（注l控n比患，，，期在血现控过在异常-围统，以学显n低义出血的说险m减n脑需注不波g，的善降出压患下的制后）是平种对全不效正控造方组，明得过广的参压文灌-值杂压医制现变中民脑可管s学是影s国为出i诊量指的的出功n神急-n白期属~质压基-血高大n蕾不马m肿纯霞l等因中偿年代血m急引患g应的乌g地而和卷卡实平考疗病比以出监对到国中证血血现医他杂在压，化低期能超压-量姗同萍素于即u原巩没-患杂使疾来g相to发t的国血中水析再的药全勇和降效血-内出控疗，i影血可控加强维t，丽有l在陈的陈对床注与血药。中组探究tn预发患者出，-血而组症年孙者辉-徐、成、陈、平-等in高别压s出-血月周出水中年响辉（不将in计可与后态恢压复相比性较究，血差早异华无年统脑计管学杂意伟义-，说患
华神经创伤外科电子杂志2020261ChinJNeurotraumaSurg(ElectronicEditio),Feb.2020,Vol.6,No.1
18
<30L
[15]
140/80H
140/80~160/100H
[1]中华医学会神经病学分会,中华医学会神经病学分会
<30L
.(2014)[J]中华神经科杂志.,2015,
48(6):435444.
[2],,,.
[J].,2016,8(2):
140/80H
209212.
140/80160/100H
[3]KazuiS,MinematsK,YamamotH,etal.Predisposinfactors
2
enlargemenofspontaneouintracerebrahematoma[J].Stroke,
1997,28(12):23702375.
[4]QureshAI,PaleschYY.Antihypertensivetreatmenofacute
cerebrahemorrhage(ATACH)II:design,methods,andrationale
[J].NeurocriCare,2011,15(3):559576.
[5],,,.
[J].,2016,18(6):
571573.
[6].
[J].,2016,16(6):884886.
[7],,,.
2
Meta[J].,2016,16(1):1622.
[8],,,.
2
9[J].
,2016,26(6):3236.
[9]MorgensterLB,HemphilJC,AndersoC,etal.Guidelineforthe
managemenofspontaneouintracerebrahemorrhage:aguideline
forhealthcareprofessionalfromtheAmericaheartassociatio/
2
Americastrokeassociatio[J].Stroke,2010,41(9):21082129.
[10]FisherCM.Pathologicaobservationhypertensivecerebral
31030d6
hemorrhage[J].JNeuropathoExpNeurol,1971,30(3):536550.
<30L
[11]HemphilJC,GreenberSM,AndersoCS,etal.Guidelinefor
2
themanagemenofspontaneouintracerebrahemorrhage:a
guidelineforhealthcareprofessionalfromtheAmericaheart
associatio/Americastrokeassociatio[J].Stroke,2015,46(7):
20322060.
[12]GabbGM,MangonAA,AndersoCS,etal.Guidelineforthe
diagnosiandmanagemenofhypertensioadults2016[J].
MedJAust,2016,205(2):8589.
[13]LeeSH,KimBJ,RyuWS,etal.Whitematterlesionand
1
outcomeafterintracerebrahemorrhage:anationwidecohortstudy
[J].Neurology,2010,74(19):15021510.
[14]MeretojaA,StrbiaD,PutaalaJ,etal.SMASHU:aproposafor
etiologicclassificatioofintracerebrahemorrhage[J].Stroke,2012,
FVEP
43(10):25922597.
2
[15]AronsoS.Perioperativehypertensiveemergencie[J].Curr
HypertenRep,2014,16(7):448.
20191201
<30L
,.不同血压控制水平对少量高血压脑出血患者再出血及[J/CD].中华神经创伤外科电子杂志,2020,
6(1):015018. |
|
