Schmelzeisen H, Eisenmann G, Jeretin S, Weber U
Kreiskrankenhaus Lahr: Klinik für Unfall- und Wiederherstellende Chirurgie.
Aktuelle Traumatol. 1988 Feb;18(1):45-50.
Treatment of severe craniocerebral traumas in medium and major hospitals not provided with special neurosurgical equipment requires particularly close interdisciplinary cooperation between surgeons, neurologists and anaesthesiologists. CT facilities are an essential prerequisite for best possible patient care. Patient safety during the posttraumatic and postoperative phases is improved by measuring the intracranial pressure. Whereas corticosteroid treatment may be arguable, barbiturate treatment should presently not be a routine procedure because of its side effects and high rate of complications.
在没有特殊神经外科设备的大中型医院中,治疗严重颅脑创伤需要外科医生、神经科医生和麻醉科医生之间进行特别密切的多学科合作。CT设备是实现最佳患者护理的基本前提。通过测量颅内压可提高创伤后和术后阶段的患者安全性。虽然皮质类固醇治疗可能存在争议,但由于巴比妥酸盐治疗的副作用和高并发症发生率,目前不应将其作为常规治疗方法。