过去30年中虽然在动脉瘤性蛛网膜下腔出血后的诊断和治疗方面有了很大的进展,但总的死亡率和病残率仍无显著改变。其原因之一是在治疗中受错误观念(神话)的影响,这些观念在早年可能是正确的,但由于神经外科的进展而不再合理。本文目的就是讨论这些“神话”。 Although there has been considerable progress in the diagnosis and treatment of aneurysmal subarachnoid hemorrhage over the past 30 years, there have been no significant changes in overall mortality or morbidity. One of the reasons for this is that treatment is influenced by misconceptions (myths) that may have been correct in the early years but are no longer reasonable due to advances in neurosurgery. The purpose of this article is to discuss these “myths.”