血压控制与脑出血治疗和预_黄一宁.pptVIP

血压控制 与 脑出血治疗和预防 北京大学第一医院神经科 黄一宁教授 ynhuang@ Primary Intracerebral Haemorrhage 10-15% all strokes (Caucasians) 20-30% in Asian/African Pathology (80-90% of all ICH) Hypertensive angiopathy Amyloid angiopathy Sites Basal Ganglia Putamen (40%), thalamus (15%), caudate (5-10%) Cerebellum (10%), pons (10%) Lobar (10-20%) Haematoma evolution Early haematoma expansion Peri-haematomal oedema in ICH Precise aetiology unclear cytotoxic vs vasogenic Is there a peri-haematomal ‘ischaemic penumbra?’ Rational acute BP lowering requires better understanding of peri-haematomal oedema Surgical treatmentS