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[重型创伤性脑损伤的神经重症监护]

[Neurointensive care of severe traumatic brain injury].

作者信息

Welling Karen-Lise Kobberø, Eskesen Vagn, Romner Bertil, Neurotraumeudvalg Dansk

机构信息

Neurointensivt Terapiafsnit 2093, Neuroanaestesiologisk Klinik, Neurocentret, Rigshospitalet, 2100 København Ø, Denmark.

出版信息

Ugeskr Laeger. 2010 Jul 19;172(29):2091-4.

Abstract

We present a Danish algorithm for the neurointensive care of patients with severe traumatic brain injury. The primary goal is to avoid cerebral ischaemia and hypoxia and secondarily brain injury. Patient evaluation by a neurosurgeon is mandatory, and decision-making concerning extended cerebral monitoring should take place immediately. Treatment aiming at diminishing increased intracranial pressure should be initiated early. Early critical care management of patients with severe traumatic brain injury should be performed in a teamwork comprising various specialties.

摘要

我们提出了一种针对重度创伤性脑损伤患者的神经重症监护丹麦算法。主要目标是避免脑缺血和缺氧,其次是避免脑损伤。必须由神经外科医生对患者进行评估,并且应立即做出关于延长脑监测的决策。应尽早开始旨在降低颅内压升高的治疗。重度创伤性脑损伤患者的早期重症监护管理应由包括各个专业的团队协作进行。

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