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重症脑血管病临床研究20年

张哲 郑丽娜 杨中华 刘丽萍

中国卒中杂志2025,Vol.20Issue(5):555-565,11.
中国卒中杂志2025,Vol.20Issue(5):555-565,11.DOI:10.3969/j.issn.1673-5765.2025.05.004

重症脑血管病临床研究20年

Clinical Studies of Severe Cerebrovascular Disease in Recent 20 Years

张哲 1郑丽娜 1杨中华 1刘丽萍1

作者信息

  • 1. 北京 100070 首都医科大学附属北京天坛医院神经重症医学科
  • 折叠

摘要

Abstract

Severe cerebrovascular disease is the most common type of disease in neurocritical care medicine.Clinical studies in this domain have laid the foundation for clinical practice.Over the past two decades,key and hot topics in the diagnosis and treatment of severe cerebrovascular disease have included:endovascular thrombectomy for anterior circulation stroke with large infarct cores and for posterior circulation ischemic stroke,blood pressure management after reperfusion therapy,decompressive craniectomy for large hemispheric infarction,anti-edema therapy for ischemic stroke,minimally invasive and medical hemostatic treatment for intracerebral hemorrhage,reversal of anticoagulation therapy,blood pressure management during the acute phase of intracerebral hemorrhage,management of ruptured aneurysms in aneurysmal subarachnoid hemorrhage,and monitoring and treatment of delayed cerebral ischemia and elevated intracranial pressure.Addressing these issues,this article outlines key clinical studies conducted by domestic and international scholars,discusses the inspirations drawn from these studies.Based on the summarized clinical research,researchers outline the future research trends in this area.

关键词

神经病学/重症医学/脑血管病/临床研究/缺血性卒中/脑出血/蛛网膜下腔出血

Key words

Neurology/Critical care medicine/Cerebrovascular disease/Clinical trial/Ischemic stroke/Intracerebral hemorrhage/Subarachnoid hemorrhage

分类

医药卫生

引用本文复制引用

张哲,郑丽娜,杨中华,刘丽萍..重症脑血管病临床研究20年[J].中国卒中杂志,2025,20(5):555-565,11.

基金项目

国家自然科学基金面上项目(82071301) (82071301)

中国卒中杂志

OA北大核心

1673-5765

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