Traumatic brain injury
Traumatic brain injury
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DOI：
10.1016/s0140-6736(00)02689-1
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发表时间：
2000-09-09
期刊：
影响因子：
168.9
通讯作者：
Ghajar, J
中科院分区：
文献类型：
--
作者：
Ghajar, J
过去25年来，严重创伤性脑损伤患者死亡率的下降和预后的改善可归因于“通过肿胀的大脑挤压含氧血液”的方法。通过监测颅内压定量脑灌注并治疗脑灌注不足可减少继发性损伤。在患者到达医院之前，有组织的创伤系统可以快速复苏并直接运送到经验丰富的创伤中心，从而显着降低死亡率和发病率。只有医务人员的教育和创伤医院系统的建立才能进一步改善脑外伤患者的预后。
The decrease in mortality and improved outcome for patients with severe traumatic brain injury over the past 25 years can be attributed to the approach of "squeezing oxygenated blood through a swollen brain". Quantification of cerebral perfusion by monitoring of Intracranial pressure and treatment of cerebral hypoperfusion decrease secondary injury. Before the patient reaches hospital, an oganised trauma system that allows rapid resuscitation and transport directly to an experienced trauma centre significantly lowers mortality and morbidity. Only the education of medical personnel and the institution of trauma hospital systems can achieve further improvements in outcome for patients with traumatic brain injuries.