Alvis-Miranda Hernando Raphael, Castellar-Leones Sandra Milena, Moscote-Salazar Luis Rafael
University of Cartagena, Colombia, South America.
Department of Neurosurgery, University of Cartagena, Colombia, South America.
Bull Emerg Trauma. 2014 Jan;2(1):3-14.
The patient with head trauma is a challenge for the emergency physician and for the neurosurgeon. Currently traumatic brain injury constitutes a public health problem. Knowledge of the various supportive therapeutic strategies in the pre-hospital and pre-operative stages is essential for optimal care. The immediate rapid infusion of large volumes of crystalloids to restore blood volume and blood pressure is now the standard treatment of patients with combined traumatic brain injury (TBI) and hemorrhagic shock (HS). The fluid in patients with brain trauma and especially in patients with brain injur y is a critical issue. In this context we present a review of the literature about the history, physiology of current fluid preparations, and a discussion regarding the use of fluid therapy in traumatic brain injury and decompressive craniectomy.
头部创伤患者对急诊医生和神经外科医生来说都是一项挑战。目前,创伤性脑损伤构成了一个公共卫生问题。了解院前和术前阶段的各种支持性治疗策略对于最佳治疗至关重要。立即快速输注大量晶体液以恢复血容量和血压,现在是创伤性脑损伤(TBI)合并失血性休克(HS)患者的标准治疗方法。脑外伤患者,尤其是脑损伤患者的补液是一个关键问题。在此背景下,我们对有关当前液体制剂的历史、生理学的文献进行综述,并讨论液体疗法在创伤性脑损伤和减压颅骨切除术中的应用。