Alvis-Miranda Hernando, Castellar-Leones Sandra Milena, Moscote-Salazar Luis Rafael
University of Cartagena, Colombia.
Department of Neurosurgery, University of Cartagena, Colombia.
Bull Emerg Trauma. 2013 Apr;1(2):60-8.
Intracranial hypertension is the largest cause of death in young patients with severe traumatic brain injury. Decompressive craniectomy is part of the second level measures for the management of increased intracranial pressure refractory to medical management as moderate hypothermia and barbiturate coma. The literature lack of concepts is their indications. We present a review on the state of the art.
颅内高压是重度创伤性脑损伤年轻患者死亡的最大原因。去骨瓣减压术是治疗对中度低温和巴比妥类药物昏迷等药物治疗无效的颅内压升高的二级措施的一部分。文献中缺乏关于其适应症的概念。我们对当前的技术水平进行了综述。