中国重症卒中管理指南2024

·698·中华神经科杂志2024年7月第57卷第7期Chin J Neurol.Jly2024,Val.57,Na.7·指南·中国重症卒中管理指南2024中华医学会神经病学分会中华医学会神经病学分会脑血管病学组通信作者：吴波，四川大学华西医院神经内科，成都610041，Email:dr.bowu@hotmail,com;彭斌，中国医学科学院北京协和医院神经科，北京100730，Email:pengbin3@hotmail..com;王拥军，首都医科大学附属北京天坛医院神经内科国家神经系统疾病临床医学研究中心，北京l00070,Email:yongjunwang@ncrend.og.cn【摘要】卒中主要包括脑梗死、脑出血、蛛网膜下腔出血等类型。重症卒中是导致残疾和死亡的主要原因，减少其发生率、致残率和病死率是降低卒中疾病负担的关键任务。中华医学会神经病学分会及其脑血管病学组组织专家在《中国重症脑血管病管理共识2015》的基础上，结合该领域最新研究进展、相关指南和共识，参考国际标准并结合我国国情和临床实践，制订了《中国重症卒中管理指南2024》。该指南针对重症脑梗死、重症脑出血、动脉瘤破裂性蛛网膜下腔出血的定义、重症监护与管理、神经专科管理进行了系统总结和阐述，为重症卒中临床规范化诊治和研究提供指导。【关键词】重症卒中：脑梗死：脑出血；蛛网膜下腔出血；指南Chinese guidelines for the management ofsevere stroke 2024Chinese Society of Neurology,Chinese Stroke SocietyCorresponding authors:Wu Bo,Department of Neurology,West China Hospital,Sichuan University,Chengdu 610041,China,Email:dr.bowu@hotmail.com;Peng Bin,Department of Neurology,PekingUnion Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical SciencesBeijing 100730,China,Email:pengbin3@hotmail.com:Wang Yongjun,Department of Neurology,BeijingTiantan Hospital,Capital Medical University,China National Clinical Research Center for NeurologicalDiseases,Beijing 100070,China,Email:yongjunwang @ncrcnd.org.cnAbstract Stroke mainly includes ischemic stroke,intracerebral hemorrhage,and subarachnoidhemorrhage.Severe stroke is the primary type that leads to death and disability.Therefore,reducing theincidence,disability,and mortality of severe stroke is a pivotal strategy in reducing stroke burden.Basedon the Expert consensus on the management of severe cerebrovascular diseases in China 2015,and withprogress in clinical practice in China as well as in evidence from clinical research in recent years,expertsfrom Chinese Society of Neurology and Chinese Stroke Society wrote the Chinese guidelines for themanagement of severe stroke 2024.This guideline aims to provide guidance for the definition,intensivecare and management,and specialized neurological treatment of severe stroke,by incorporating the latestresearch advances,relevant guidelines and consensus,and clinical practice in China【Key words】Severe stroke;Ischemic stroke;Intracerebral hemorrhage;Subarachnoid hemorrhage;GuidelineConflicts of interest:None declared卒中主要包括脑梗死、脑出血(intracerebral1700万例.高居全球首位。重症卒中是导致死亡hemorrhage)、蛛网膜下腔出血(subarachnoid和残疾负担的主要原因，减少其发生率、致残率和hemorrhage,SAH)等I,我国现有卒中患者超过病死率是降低疾病负担的关键。中华医学会神经D0L:10.3760/cma-j.cm113694-20231024-00261收稿日期2023-10-24本文编辑许情引用本文：中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组.中国重症卒中管理指南2024J1.中华神经科杂志，2024,57(7h698-714.D0L:10.3760/cma.j.cm113694-20231024-00261.