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中重度创伤性脑损伤的康复

Rehabilitation of moderate-to-severe traumatic brain injury.

作者信息

Eapen Blessen C, Allred Derrick B, O'Rourke Justin, Cifu David X

机构信息

Polytrauma Rehabilitation Center, South Texas Veterans Health Care System, San Antonio, Texas.

Department of Rehabilitation Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas.

出版信息

Semin Neurol. 2015 Feb;35(1):e1-3. doi: 10.1055/s-0035-1549094. Epub 2015 Mar 27.

Abstract

Traumatic brain injury (TBI) is defined as an alteration in brain function, or other evidence of brain pathology, caused by an external force. Traumatic brain injury is a leading cause of morbidity and disability and is considered a major public health concern. Traumatic brain injury sequelae can lead to long-term impairments in physical, cognitive, behavioral, and social function. Traumatic brain injury rehabilitation requires an interdisciplinary holistic team approach in the management of medical complications, the prevention of further disability, and helping patients return to their highest level of independence. The authors review TBI pathophysiology, grading severity, common medical complications, cognitive rehabilitation, prognosis, and common outcomes used in TBI rehabilitation.

摘要

创伤性脑损伤(TBI)被定义为因外力导致的脑功能改变或其他脑病理学证据。创伤性脑损伤是发病和残疾的主要原因,被视为重大公共卫生问题。创伤性脑损伤后遗症可导致身体、认知、行为和社会功能的长期损害。创伤性脑损伤康复需要跨学科的整体团队方法来管理医疗并发症、预防进一步残疾,并帮助患者恢复到最高水平的独立状态。作者回顾了创伤性脑损伤的病理生理学、严重程度分级、常见医疗并发症、认知康复、预后以及创伤性脑损伤康复中使用的常见结果。

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