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与战斗相关的创伤性脑损伤及其对军事医疗保健的影响。

Combat-related traumatic brain injury and its implications to military healthcare.

机构信息

Defense and Veterans Brain Injury Center, PO Box 59181, Washington, DC 20012, USA.

出版信息

Psychiatr Clin North Am. 2010 Dec;33(4):783-96. doi: 10.1016/j.psc.2010.08.007.

DOI:10.1016/j.psc.2010.08.007
PMID:21093678
Abstract

Traumatic brain injury (TBI) is a known injury in today's combat arena. Improved screening and surveillance methods have diagnosed TBI with increasing frequency. Current treatment plans are based largely on information gleaned from sports injuries. However, these management paradigms fail to address the effect of physiologic stress (fatigue, dehydration) and psychological stress at the time of injury as well as the number of previous concussions that may affect recovery from combat-related TBI. This article presents current evaluation and management of combat-related injury and discusses other psychological conditions that may coexist with TBI.

摘要

创伤性脑损伤(TBI)是当今战场上已知的一种损伤。改进的筛查和监测方法使 TBI 的诊断频率不断增加。目前的治疗方案主要基于从运动损伤中收集到的信息。然而,这些管理模式未能解决生理应激(疲劳、脱水)和受伤时的心理应激以及可能影响与战斗相关的 TBI 恢复的先前脑震荡次数的影响。本文介绍了与战斗相关的损伤的当前评估和管理,并讨论了可能与 TBI 同时存在的其他心理状况。

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