炎性指标在动脉瘤性蛛网膜下腔出血预后中的研究进展

动脉瘤性蛛网膜下腔出血（aneurysmal subarachnoid hemorrhage，aSAH）是临床常见的脑血管疾病，也是神经外科领域一种致死、致残率都极高的急危重症。目前人们对其病因，即颅内动脉瘤的处理已取得长足进步，再出血发生率大大降低，但仍有很大一部分aSAH患者预后较差。其中，引起早期脑损伤的神经炎性反应可能是导致不良预后的关键因素。目前已有研究报道了与aSAH预后有关的炎性指标，并在临床得以应用，本文就这些指标的国内外研究进展进行综述。

Research progress of inflammatory indicators in the prognosis ofaneurysmal subarachnoid hemorrhage

Aneurysmal subarachnoid hemorrhage (aSAH) is acommon clinical cerebrovascular disease and a critical emergency in the fieldof neurosurgery with a high mortality and a disability rate. Considerableprogress has been made in the management of its cause, namely intracranialaneurysms, and the incidence of re-bleeding has been greatly reduced, but alarge proportion of patients with aSAH still have poor prognosis. Among these,the neuroinflammatory response that causes early brain injury may be a keyfactor for poor prognosis. Inflammatory indicators related to the prognosis ofaSAH have been reported and used in clinical practice, and this article reviewsthe progress of domestic and international studies on these indicators.