Salih Farid, Rosenthal Christoph, Wolf Stefan
Klinik und Poliklinik für Neurologie (Interdisziplinäre Neuro- Intensivstation) der Charité– Universitätsmedizin Berlin, Campus Virchow-Klinikum.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2012 Jan;47(1):50-5; quiz 56. doi: 10.1055/s-0032-1301381. Epub 2012 Jan 27.
Elevated intracranial pressure (ICP) in various brain diseases has for long time been treated according to guidelines for traumatic brain injury. First data of randomized study reveal, that specific treatment options like decompressive craniectomy, hyperosmotic agents, hyperventilation, hypothermia and steroids should have specific indications to control elevated ICP in future. In general, optimal ICP-treatment should also target sufficient cerebral perfusion and oxygenation.
长期以来，各种脑部疾病中的颅内压升高一直按照创伤性脑损伤的指南进行治疗。随机研究的初步数据显示，诸如减压颅骨切除术、高渗药物、过度换气、低温疗法和类固醇等特定治疗方案在未来控制颅内压升高方面应有特定的适应症。一般来说，最佳的颅内压治疗还应针对充足的脑灌注和氧合。
