The subarachnoid hemorrhage (SAH) by aneurysmatic rupture is responsible for 6% of the cerebral vascular accidents. The cerebral aneurysms are present in 0.2-9.9% of the population and the bleeding rate is of 10 out of 100,000 inhabitants per year. The consensus conference analyzed the different schemes of treatment and made therapeutic recommendations according to the criteria of medicine based on evidence. Levels of evidence were determined from I to V. The recommendation degrees were classified in: A, determined by evidence level I, B by evidence level II, and C suggested by evidence levels III, IV and V. These recommendations should be adapted to each patient. However, grade A recommendations are treatment standards. Seriousness of patients was evaluated on the basis of Hunt and Hess scale upon admission. Successive analyses covered: general medical treatment measures, cerebral vasospasm, diagnostic procedures and treatment of the hyponatremia and convulsion prevention.

译文

:动脉瘤破裂引起的蛛网膜下腔出血(SAH)占6%的脑血管意外的原因。脑动脉瘤存在于0.2-9.9%的人口中,每年的出血量为100,000居民中的10。共识会议分析了不同的治疗方案,并根据证据依据医学标准提出了治疗建议。证据级别从I到V确定。推荐等级分为:A,由证据级别I确定,B由证据级别II确定,C由证据级别III,IV和V建议。病人。但是,A级建议是治疗标准。入院时根据Hunt和Hess量表评估患者的严重性。后续分析包括:一般医疗措施,脑血管痉挛,诊断程序以及低钠血症和抽搐预防的治疗。

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