Critical care management of severe traumatic brain injury in adults.

Critical care management of severe traumatic brain injury in adults.
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DOI:
10.1186/1757-7241-20-12
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发表时间:
2012-02-03
期刊:
Scandinavian journal of trauma, resuscitation and emergency medicine
影响因子:
--
通讯作者:
Arabi YM
Arabi YM
中科院分区:
其他
文献类型:
--
作者:
Haddad SH;Arabi YM

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创伤性脑损伤是一个重大的医学和社会经济问题,也是导致儿童和年轻人死亡的主要原因。重型颅脑损伤的重症监护管理在很大程度上源于脑创伤基金会出版的《重型颅脑损伤救治指南》。主要目的是预防和治疗颅内高压和继发性脑损伤,保持脑灌注压(CPP),优化脑氧合。本文将对重型颅脑损伤的危重护理管理进行讨论,重点关注二次脑损伤的监测、避免和最小化,以及优化脑氧合和CPP。
Traumatic brain injury (TBI) is a major medical and socio-economic problem, and is the leading cause of death in children and young adults. The critical care management of severe TBI is largely derived from the "Guidelines for the Management of Severe Traumatic Brain Injury" that have been published by the Brain Trauma Foundation. The main objectives are prevention and treatment of intracranial hypertension and secondary brain insults, preservation of cerebral perfusion pressure (CPP), and optimization of cerebral oxygenation. In this review, the critical care management of severe TBI will be discussed with focus on monitoring, avoidance and minimization of secondary brain insults, and optimization of cerebral oxygenation and CPP.
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