Department of Neurosurgery, University of Tennessee Health Science Center, 847 Monroe Avenue, Suite 427, Memphis, TN, USA.
Surg Clin North Am. 2012 Aug;92(4):939-57, ix. doi: 10.1016/j.suc.2012.04.005. Epub 2012 Jun 5.
Traumatic brain injury (TBI) involves significant damage of the brain parenchyma, and is the leading cause of morbidity and mortality after trauma. It is thus essential for all physicians involved in acute care medicine and surgery to have a thorough understanding of TBI. Management of the patient with TBI is a rapidly advancing field, characterized by an improved understanding of intracranial pathophysiology and decreasing overall mortality largely because of improved neurocritical and surgical care. This article summarizes the classification system, management approaches, and recent controversies in the care of mild, moderate, and severe TBI.
创伤性脑损伤（TBI）涉及脑实质的重大损伤，是创伤后发病率和死亡率的主要原因。因此，所有参与急性内科医学和外科的医生都必须对 TBI 有透彻的了解。TBI 患者的管理是一个快速发展的领域，其特点是对颅内病理生理学的理解有所提高，总体死亡率降低，主要是由于神经重症监护和手术护理的改善。本文总结了轻度、中度和重度 TBI 护理的分类系统、管理方法和最近的争议。
