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| 1 | 动脉瘤性蛛网膜下腔出血处理指南 美国心脏协会卒中委员会特别写作组给医疗专业人员的声明显示文摘蛛网膜下腔出血(subarachnoid hemorrhage,SAH)是一种常见病,常常导致严重后果,约占全部卒中病例的5%,在美国每年有多达3万人罹患该病。美国心脏协会(American Heart Association,AHA)曾发表过“动脉瘤性SAH处理指南”。此后,在血管内技术、诊断方法以及手术和围手术期管理方面已取得了显著进展。尽管如此,SAH患者的预后依然较差,基于人群研究报告的病死率高达45%,并且存活者会遗留严重残疾。一些多中心前瞻性随机试验和前瞻性队列分析已对SAH的治疗方案产生影响。然而, | Joshua B. Bederson E. Sander Connolly H. Hunt Batjer Ralph G. Dacey Jacques E. Dion Michael N. Diringer John E. Duldner Robert E. Harbaugh Aman B. Patel Robert H. Rosenwasser 高翔(译) 李洛(译) 李海峰(译) | 2009 | 国际脑血管病杂志2009，17，4： | 24 |
| 2 | 恶化型大脑半球大面积脑梗死的处理显示文摘临床上常见到急性缺血性脑梗死后病情恶化,这可能与神经系统和全身性因素均有关.可以引起临床症状恶化的全身性因素包括:发热、感染、低血压、低氧血症和高碳酸血症. | Michael Diringer 齐明华 | 2003 | 中国神经精神疾病杂志2003，29，1： | 18 |
| 3 | 肌钙蛋白水平升高与脑出血后高死亡率相关显示文摘Background: Elevated troponin levels are an independent indicator of poor outcome in ischemic stroke. The authors performed a retrospective study to ascertain whether elevated cardiac troponin I (cTnI) influences outcome from intracerebral hemorrhage (ICH). Methods: Patients were included if they had a cTnI level measured and a head CT performed within 24 hours of presentation with a spontaneous ICH. Those with recent stroke, angina, or myocardial ischemia were excluded. CT scans were reviewed to determine the hematoma size, location, presence of intraventricular or subarachnoid hemorrhage, hydrocephalus, and midline shift. Results: Of the 729 ICH patients admitted over 4 years, 235 were included in the analysis. Most exclusions were for medical reasons or because of lack of a CT. Mortality was higher in the 18%with a peak cTnI level >0.4 ng/mL (58 vs 34%, p = 0.009) and having elevated cTnI was an independent predictor of in-hospital mortality (Exp [β] 3.68, 95%CI 1.2 to 11.2, p = 0.023). Three patients (1.2%)-died due to cardiac events, all of whom had an elevated cTnI level on admission. Conclusions: Elevated cardiac troponin I (cTnI) values occur frequently in ICH and are independently associated with higher in-hospital mortality. Although cardiac causes of death were higher in those with elevated cTnI levels, due to its very low frequency (1.2%) this finding remains preliminary. | Hays A. Diringer M. N. 邱伟庆(译) | 2006 | 世界核心医学期刊文摘(神经病学分册)2006，2，9： | 7 |
| 4 | 动脉瘤性蛛网膜下腔出血患者的重症监护处理:神经危重症监护学会多学科共识会议的推荐意见显示文摘蛛网膜下腔出血(subarachnoidhemorrhage,SAH)是一种可对中枢神经系统造成毁灭性打击并对其他多个器官产生显著影响的急性脑血管病。SAH患者被常规收入重症监护病房并由多学科团队进行治疗。由于高质量研究证据的缺乏,使得治疗方法各异,可供选择的指导意见不多。现有的指南主要强调危险因素、预防、自然史以及再出血的预防,很少涉及SAH患者的重症监护问题。美国神经危重症监护学会组织了一次国际性多学科共识会议来探讨SAH的重症监护处理。根据发表的文章和研究领域,此次会议召集了来自欧洲和北美地区的神经重症监护科、神经外科、神经内科、介入神经放射科和神经麻醉科方面的专家。根据临床经验和制定实践指南方面的经验,选择4名经验丰富的神经重症监护专家组成评判委员会。应用推荐分级的评估、制定与评价(GradesofRecommendationsAssessment,DevelopmentandEvaluation,GRADE)系统进行文献回顾,结合参会者的经验、评判委员会的审评以及文献讨论产生推荐意见。应用GRADE系统制定推荐意见,其制定原则不仅强调研究资料的质量,而且还重视利弊权衡与实践转化。对SAH患者日常处理过程中面临的所有问题均提供指导和推荐意见,即使缺乏高质量的证据。 | Michael N. Diringer Thomas P. Bleck J. Claude Hemphill David Menon Lori Shutter Paul Vespa Nicolas Bruder E. Sander Connolly Jr Giuseppe Citerio Daryl Gress Daniel Hanggi Brian L. Hoh Giuseppe Lanzino Peter Le Roux Alejandro Rabinstein, Erich Schmut zhard Nino Stocchetti Jose I. Suarez Miriam Tresgiari Ming-Yuan Tseng Mervyn D. I. Vergouwen Stefan Wolf Gregory Zip fel 田飞(译) 宿 英英(译) | 2013 | 国际脑血管病杂志2013，21，5： | 5 |
| 5 | Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage: A Statement for Healthcare Professionals From a Special Writing Group of the Stroke Council, American Heart Association显示文摘 | Joshua B. Bederson E Sander Connolly H Hunt Batjer Ralph G. Dacey Jacques E. Dion Michael N. Diringer John E. Duldner Robert E. Harbaugh Aman B. Patel Robert H. Rosenwasser | 2009 | Stroke2009，，3： | 4 |
| 6 | Sodium disturbances frequently encountered in a neurologic intensive care unit显示文摘 | Diringer MN | 2001 | Neurol India2001，49，1： | 2 |
| 7 | Hypoperfusion with- out ischemia sur-rounding acute intracerebral hemorrhage 显示文摘 | Zazulia AR Diringer MN Videen TO | 2001 | J Cereb Blood Flow Metab2001，21，： | 1 |
| 8 | Hypematremia in the neum- logic intensive care unit: how high is too high显示文摘 | Aiyagari V Deibert E Diringer MN | 2006 | J Crit Care2006，21，2： | 1 |
| 9 | Response to external ventricular drainage in spontaneous intracerebral hemorrhage with hydrocephalus显示文摘 | Adams RE Diringer MN | 1998 | Neurology1998，50，2： | 1 |
| 10 | Hemodynamic manipulation in the neurointensive care unit: cerebral perfusion pressure therapy in head injury and hemodynamic augmentation for cerebral vasospasm显示文摘 | Diringer MN Axelrod Y | 2007 | Curr Opin Crit Care2007，13，2： | 1 |
| 11 | Multiple-dose mannitol reduces brain water content in a rat model of cortical infarction显示文摘 | Paczynski R P He Y Y Diringer M N Hsu C Y | 1997 | Stroke1997，28，： | 1 |
| 12 | Correction for partial volume effects in regional blood flow measurements adjacent to hematomas in humans with intracerebral hemorrhage: implementation and validation显示文摘 | Videen TO Dunford-Shore JE Diringer MN | 1999 | J Comput Assist Tomogr1999，23，2： | 1 |
| 13 | Statins and anti-inflammatory therapies for subarachnoid hemorrhage显示文摘 | DHAR R DIRINGER M | 2012 | Curr Treat Options Neurol2012，14，： | 1 |
| 14 | No reduction in cerebral metabolism as a result of early moderate hyperventilation following severe traumatic brain injury 显示文摘 | Diringer MN Yundt K Videen TO | 2000 | J Neurosurg2000，92，1： | 1 |
| 15 | Pattern not volume of bleeding predicts angiographic vasospasm in nonaneurysmal subarachnoid hemorrhage显示文摘 | Raya A Zipfel GJ Diringer MN | 2014 | Stroke2014，45，： | 1 |
| 16 | Plasma atrial natriuretic factor and subarachnoid hemorrhage显示文摘 | Diringer M Ladenson PW Stern BJ | 1988 | Stroke1988，19，9： | 1 |
| 17 | Hyponatremia in neurologic patients: consequences and approaches to treatment 显示文摘 | Diringer M N Zazulia A R | 2006 | The Neurologist2006，12，3： | 1 |
| 18 | Progression of mass effect intraeerebral hemorrhage 显示文摘 | Zazulia AR Diringer MN Derdeyn CP | 1999 | Stroke1999，30，4： | 1 |
| 19 | Sodium disturbances frequently encountered in a neurologic intensive care unit显示文摘 | Diringer MN | 2001 | Neurol India2001，49，1： | 1 |
| 20 | Hyponatremia in neurologic patients:consequces and app roaches to treatment显示文摘 | Diringer MN Zazulia AR | 2006 | Neurologist2006，12，3： | 1 |
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