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重症监护环境下创伤性脑损伤的神经行为管理:最新进展

Neurobehavioral Management of Traumatic Brain Injury in the Critical Care Setting: An Update.

作者信息

De Guzman Earl, Ament Andrea

机构信息

Psychosomatic Medicine, Department of Psychiatry, Stanford University School of Medicine, 401 Quarry Road, Palo Alto, CA 94305, USA.

Psychosomatic Medicine, Department of Psychiatry, Stanford University School of Medicine, 401 Quarry Road, Palo Alto, CA 94305, USA.

出版信息

Crit Care Clin. 2017 Jul;33(3):423-440. doi: 10.1016/j.ccc.2017.03.011. Epub 2017 Apr 20.

Abstract

Traumatic brain injury (TBI) is an alteration in brain function, or other evidence of brain pathology, caused by an external force. TBI is a major cause of disability and mortality worldwide. Post-traumatic amnesia, or the interval from injury until the patient is oriented and able to form and later recall new memories, is an important index of TBI severity and functional outcome. This article will discuss the updates in the epidemiology, definition and classification, pathophysiology, diagnosis, and management of common acute neuropsychiatric sequelae of traumatic brain injury that the critical care specialist may encounter.

摘要

创伤性脑损伤(TBI)是指由外力导致的脑功能改变或其他脑病理学证据。TBI是全球致残和致死的主要原因。创伤后遗忘症,即从受伤到患者定向并能够形成并随后回忆新记忆的间隔时间,是TBI严重程度和功能预后的重要指标。本文将讨论重症监护专家可能遇到的创伤性脑损伤常见急性神经精神后遗症在流行病学、定义与分类、病理生理学、诊断及管理方面的最新进展。

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