第二十四届长城国际心脏病学会议暨亚太心脏大会2013

2013年欧洲SAH动脉瘤指南

   2013-07-08
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Intracranial aneurysm with and without subarachnoid haemorrhage (SAH) is a relevant health problem: The overall incidence is about 9 per 100,000 with a wide range, in some countries up to 20 per 100,000. Mortality rate with conservative treatment within the first months is 50–60%. About one third of patients left with an untreated aneurysm will die from recurrent bleeding within 6 months after recovering from the first bleeding. The prognosis is further influenced by vasospasm, hydrocephalus, delayed ischaemic deficit and other complications. The aim of these guidelines is to provide comprehensive recommendations on the management of SAH with and without aneurysm as well as on unruptured intracranial aneurysm.

We performed an extensive literature search from 1960 to 2011 using Medline and Embase. Members of the writing group met in person and by teleconferences to discuss recommendations. Search results were graded according to the criteria of the European Federation of Neurological Societies. Members of the Guidelines Committee of the European Stroke Organization reviewed the guidelines.

These guidelines provide evidence-based information on epidemiology, risk factors and prognosis of SAH and recommendations on diagnostic and therapeutic methods of both ruptured and unruptured intracranial aneurysms. Several risk factors of aneurysm growth and rupture have been identified. We provide recommendations on diagnostic work up, monitoring and general management (blood pressure, blood glucose, temperature,
thromboprophylaxis, antiepileptic treatment, use of steroids). Specific therapeutic interventions consider timing of procedures, clipping and coiling. Complications such as hydrocephalus, vasospasm and delayed ischaemic deficit were covered. We also thought to add recommendations on SAH without aneurysm and on unruptured aneurysms.

编辑: 长江    来源:丁香园

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男,1946年7月生于河南开封。中国共产党党员。主任医师、教授、博士生导师,国家和北京市突出贡献专家、卫生部健康教育首席专家,国家重点学科心血管内科负责人,享受政府专家津贴。

中国国际科技会议中心

长城国际心脏病学会议组委会

亚太心脏联盟

首都医科大学心脏病学系

中华医学会心血管病学分会

中国医师协会心血管内科医师分会

中国康复医学会心血管病专业委员会

中国老年学学会心脑血管病专业委员会

中国生物医学工程学会心律分会

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