McLeod Anne
City University, St Bartholomew's School of Nursing and Midwifery, London, UK.
Br J Nurs. 2004;13(17):1041-9. doi: 10.12968/bjon.2004.13.17.16043.
Trauma to the central nervous system can have devastating consequences for both the person who sustained the injury and his/her family/loved ones. This article first discusses pathophysiology in relation to altered cerebral haemodynamics and changes that occur after spinal injury. Following on from the underpinning theoretical perspectives, the article reviews the nursing care and management strategies required by patients who have sustained either a traumatic head injury or acute spinal injury, with the aim of controlling secondary injury, which is preventable. This ensures the patient will have the best possible prognosis and outcome.
中枢神经系统创伤对受伤者及其家人/亲人都会产生毁灭性后果。本文首先讨论与脑血流动力学改变以及脊髓损伤后发生的变化相关的病理生理学。基于这些基础理论观点，本文回顾了创伤性脑损伤或急性脊髓损伤患者所需的护理和管理策略，目的是控制可预防的继发性损伤。这确保患者能获得尽可能好的预后和结果。
