Intracerebral haemorrhage (ICH) accounts for half of the disability-adjusted life years lost due to stroke worldwide. Care pathways for acute stroke result in the rapid identification of ICH, but its acute management can prove challenging because no individual treatment has been shown definitively to improve its outcome. Nonetheless, acute stroke unit care improves outcome after ICH, patients benefit from interventions to prevent complications, acute blood pressure lowering appears safe and might have a modest benefit, and implementing a bundle of high-quality acute care is associated with a greater chance of survival. In this article, we address the important questions that neurologists face in the diagnosis and acute management of ICH, and focus on the supporting evidence and practical delivery for the main acute interventions.

中文翻译：

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急性脑出血：诊断和治疗


脑出血 (ICH) 占全球因中风导致的伤残调整生命年损失的一半。急性中风的护理途径可以快速识别脑出血，但其急性管理可能具有挑战性，因为没有单独的治疗方法能够明确地改善其结果。尽管如此，急性卒中病房护理可以改善脑出血后的预后，患者可以从预防并发症的干预措施中受益，急性血压降低似乎是安全的，并且可能具有适度的益处，并且实施一系列高质量的急性护理与更大的生存机会相关。在本文中，我们解决了神经科医生在脑出血的诊断和急性管理中面临的重要问题，并重点关注主要急性干预措施的支持证据和实际实施。