动脉瘤性蛛网膜下腔出血后分流依赖性脑积水的预测研究进展 Predictive Research Progress on Shunt-Dependent Hydrocephalus after Aneurysmal Subarachnoid Hemorrhage

Abstract

动脉瘤性蛛网膜下腔出血是一种常见的神经外科疾病，其高致死率和致残率以及众多并发症给患者和社会带来了很大负担。其中分流依赖性脑积水是该病的并发症之一，部分患者在发病早期可能没有症状，难以诊断，从而导致患者预后不良甚至死亡。随着研究的不断进展，已有文献报道了多个对分流依赖性脑积水具有预测作用的指标。本文旨在综述这些预测指标，以帮助临床医务人员早期识别动脉瘤性蛛网膜下腔出血后分流依赖性脑积水高危患者，从而积极采取干预措施，改善患者预后。 Abstract: Aneurysmal subarachnoid hemorrhage is a common neurosurgical disease. Its high mortality and disability rate and numerous complications bring a heavy burden to patients and society. Shunt-dependent hydrocephalus is one of the complications of this disease. Some patients may have no symptoms in the early stage of the disease, making it difficult to diagnose, leading to poor prognosis or even death. With the continuous progress of research, many indicators that have predictive value for shunt-dependent hydrocephalus have been reported in the literature. This paper aims to review these predictive indicators to help clinicians identify the patients with high risk of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage early, and take active intervention measures to improve the prognosis of patients.

Keywords

• 颅内动脉瘤
• 蛛网膜下腔出血
• 分流依赖性脑积水
• 预测因素
• intracranial aneurysm
• subarachnoid hemorrhage
• shunt-dependent hydrocephalus
• predicting factor