Management of raised intracranial pressure in children with traumatic brain injury.

Management of raised intracranial pressure in children with traumatic brain injury.
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DOI:
10.4103/1817-1745.147572
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发表时间:
2014-09
影响因子:
0.5
通讯作者:
Drake J
Drake J
中科院分区:
其他
文献类型:
--
作者:
Kukreti V;Mohseni-Bod H;Drake J

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颅压升高与颅脑损伤后预后较差有关。目前的指导方针和管理策略旨在维持足够的脑灌流压和治疗升高的颅内压。尽管存在争议,但颅内压监测是重要的,特别是在严重脑外伤后,以指导治疗,并在发达国家被接受为一种护理标准。我们提供了一个叙述性回顾的最新证据,使用颅内压监测和管理的颅内压在儿童脑外伤。
Increased intracranial pressure (ICP) is associated with worse outcome after traumatic brain injury (TBI). The current guidelines and management strategies are aimed at maintaining adequate cerebral perfusion pressure and treating elevated ICP. Despite controversies, ICP monitoring is important particularly after severe TBI to guide treatment and in developed countries is accepted as a standard of care. We provide a narrative review of the recent evidence for the use of ICP monitoring and management of ICP in pediatric TBI.