少是多:在经过修改的脑损伤指南中,简化孤立创伤性脑下关节出血的管理
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Updated: May 5, 2026

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Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
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Brandon A Bellen1, Janet S Lee1, Emily Johnson1
1Department of Trauma and Acute Care Surgery, UCHealth Memorial Hospital, Colorado Springs, CO, USA; Department of Surgery, University of Colorado Anschutz Medical Center, Aurora, CO, USA.
American journal of surgery
|September 27, 2024
概括
患有孤立创伤性下关节出血 (iTSAH) 的患者不需要神经外科干预,即使有放射性或神经学进展. 这些发现表明,修改后的脑损伤指南 (mBIG) 中可能会对SAH定义进行修订.
科学领域:
- 神经创伤是一种神经创伤.
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 隔离性创伤性下关节出血 (iTSAH) 的管理遵循修改后的脑损伤指南 (mBIG).
- 目前的指导方针可能无法最佳地分层iTSAH患者的风险.
- 了解iTSAH临床轨迹对于完善管理协议至关重要.
研究的目的:
- 描述被诊断患有 iTSAH 的患者.
- 分析 iTSAH 患者的临床结果.
- 在iTSAH中评估神经外科咨询和重复成像的必要性.
主要方法:
- 创伤患者 iTSAH 的回顾性分析.
- 排除格拉斯哥昏迷尺度 (GCS) <13的患者.
- 排除受伤前使用抗血小板/抗凝剂的患者.
主要成果:
- 在8年的时间里,发现了276名患有iTSAH的患者.
- 80.4%的患者接受了神经外科咨询.
- 放射性进展发生在8.6%的患者中,神经系统恶化发生在2.2%的患者中,没有手术干预或与iTSAH相关的死亡.
结论:
- 没有任何iTSAH患者需要神经外科咨询,尽管有放射性或神经学进展.
- 重复头部CT扫描和神经外科咨询可能不需要所有iTSAH患者.
- 在mBIG中对SAH的定义可能需要修订,以更好地反映 iTSAH患者的结果.
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