急诊神经科生命支持：颅内高压与脑疝
Emergency Neurological Life Support: Intracranial Hypertension and Herniation.
作者信息
Stevens Robert D, Shoykhet Michael, Cadena Rhonda
机构信息
Departments of Anesthesiology and Critical Care Medicine, Neurology, Neurosurgery, and Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Pediatric Critical Care Medicine, Department of Pediatrics, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
出版信息
Neurocrit Care. 2015 Dec;23 Suppl 2(Suppl 2):S76-82. doi: 10.1007/s12028-015-0168-z.
Abstract
Sustained intracranial hypertension and acute brain herniation are "brain codes," signifying catastrophic neurological events that require immediate recognition and treatment to prevent irreversible injury and death. As in cardiac arrest, a brain code mandates the organized implementation of a stepwise management algorithm. The goal of this emergency neurological life support protocol is to implement an evidence-based, standardized approach to the evaluation and management of patients with intracranial hypertension and/or herniation.
摘要
持续性颅内高压和急性脑疝是“脑部急救信号”，意味着灾难性的神经事件，需要立即识别并治疗以防止不可逆转的损伤和死亡。如同心脏骤停时一样，脑部急救信号要求有组织地实施逐步管理算法。本紧急神经生命支持方案的目标是对颅内高压和/或脑疝患者实施基于证据的标准化评估和管理方法。
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