中国破裂颅内动脉瘤临床管理指南（2024版）

·1940·中华医学杂志2024年6月4日第104卷第21期Natl Med J Chir,Jne4.2024,Val.104.No.21·标准与规范·中国破裂顿内动脉瘤临床管理指南(2024版)中华医学会神经外科学分会中国卒中学会脑血管外科学分会国家神经系统疾病医学中心国家神经系统疾病临床研究中心通信作者：王硕，首都医科大学附属北京天坛医院神经外科，北京100070，Email:captain9858@vip.sina.com;赵继宗，国家神经系统疾病临床研究中心，北京l00070,Email:zhaojz205@163.com;陈晓霖，国家神经系统疾病医学中心，北京100070，Email:cx138106@126.com【摘要】动脉瘤性蛛网膜下腔出血(aSAH)严重危害我国人民健康。aSAH患者的预后差，其病死率可高达50%，是我国一个严峻的公共卫生问题。关于SAH的临床评估、外科处理策略和围手术期管理是临床管理的重要组成部分。本临床管理指南围绕aSAH的流行病学、临床影像诊断、预后评价、治疗策略及选择、麻醉管理、围手术期护理和特殊人群aSAH管理建议等方面，共形成112条推荐意见，旨在为临床医师、其他相关专业人员提供实用的临床指导建议。【关键词】动脉瘤性蛛网膜下腔出血；诊断；治疗；并发症；管理；指南基金项目：国家重点研发计划(2021YC2501100)实践指南注册：国际实践指南注册与透明化平台(PREPARE-2023CN191)1915Chinese guideline for the clinical management of patients with ruptured intracranialaneurysms (2024)Society of Neurosurgery of Chinese Medical Association,Society of Cerebrovascular Surgery of ChineseStroke Association,National Center for Neurological Disorders,National Clinical Research Center forNeurological DiseasesCorreponding authors:Wang Shuo,Department of Neurosurgery,Beijing Tiantan Hospital,CapitalMedical University,Beijing 100070,China,Email:captain9858@vip.sina.com;Zhao Jizong,ChineseNational Clinical Research Center for Neurological Diseases,Beijing 100070,China,Email:zhaojz205@163.com;Chen Xiaolin,National Center for Neurological Disorders,Beijing 100070,China,Email:cx138106@126.c0mAbstract Subarachnoid hemorrhage caused by intracranial aneurysm (aneurysmalsubarachnoid hemorrhage,aSAH)poses a significant threat to the health of the Chinese people.Theprognosis of aSAH patients is poor,with a mortality of up to 50%,which is a public health problem inChina.The clinical evaluation,surgical ctrategies,and perioperative management are importantparts of clinical management for aSAH patients.This clinical management guideline consists of 112recommendations on epidemiology,clinical imaging diagnosis,prognosis evaluation,treatmentstrategies and selection,anesthesia management,perioperative care,and management of specialpopulations with aSAH,aiming to provide clinical guidance for clinical doctors and relatedprofessionalsD01:10.3760/cma.j.cm112137-20240222-00374收稿日期2024-02-22本文编辑朱蹈引用本文：中华医学会神经外科学分会，中国卒中学会脑血管外科学分会，国家神经系统疾病医学中心等.中国破裂颅内动脉瘤临床管理指南(2024版)0.中华医学杂志，2024,10421k1940-1971.D0L:103760/emaj.cn112137-20240222-00374.