Jennett B
Institute of Neurological Sciences, Southern General Hospital, Glasgow, Scotland.
J Neurotrauma. 1991 Jul;8 Suppl 1:S15-9.
The strategy of head injury management should be to minimize avoidable mortality and morbidity by reducing secondary brain damage. Patients with severe injuries are a minority, and their main needs are maintenance of the airway and nutrition. Some patients with less severe injuries are at risk for developing intracranial hematoma, and these need CT scanning. Pharmacological interventions may improve the outlook for patients with diffuse injuries associated with brain swelling.
头部损伤的管理策略应是通过减少继发性脑损伤来尽量降低可避免的死亡率和发病率。重伤患者占少数,他们的主要需求是维持气道通畅和营养。一些伤势较轻的患者有发生颅内血肿的风险,这些患者需要进行CT扫描。药物干预可能会改善与脑肿胀相关的弥漫性损伤患者的预后。