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高血压性脑出血是神经科急危重症,具有高致残率及病死率,当其发生二次脑损伤后,后果更加严重,死亡率显著升高。本文对高血压性脑出血后二次脑损伤的发病机制进行全面探讨,并从西医学和中医学的不同角度,对高血压性脑出血后二次脑损伤的定义、病因和发病机制进行分析,同时对西医、中医和中西医结合防治高血压性脑出血后二次脑损伤的策略进行综述。
Hypertensive intracerebral hemorrhage is an acute neurological crisis, with high morbidity and mortality, when the occurrence of secondary brain injury, the consequences are more serious, the mortality was significantly higher. This paper discusses the pathogenesis of secondary brain injury after hypertensive intracerebral hemorrhage (ICH), and analyzes the definition, etiology and pathogenesis of secondary brain injury after hypertensive intracerebral hemorrhage from different perspectives of western medicine and traditional Chinese medicine At the same time, the strategies of combing western medicine, traditional Chinese medicine and traditional Chinese and western medicine on the prevention of secondary brain injury after hypertensive intracerebral hemorrhage were reviewed.