Davanzo Justin R, Sieg Emily P, Timmons Shelly D
Department of Neurosurgery, Milton S. Hershey Medical Center, Penn State University College of Medicine, 30 Hope Drive, E.C. 110, Hershey, PA 17033, USA.
Department of Neurosurgery, Milton S. Hershey Medical Center, Penn State University College of Medicine, 30 Hope Drive, E.C. 110, Hershey, PA 17033, USA.
Surg Clin North Am. 2017 Dec;97(6):1237-1253. doi: 10.1016/j.suc.2017.08.001.
Traumatic brain injury remains a serious public health problem, causing death and disability for millions. In order to maximize outcomes in the face of a complex injury to a complex organ, a variety of advanced neuromonitoring techniques may be used to guide surgical and medical decision-making. Because of the heterogeneity of injury types and the plethora of treatment confounders present in this patient population, the scientific study of specific interventions is challenging. This challenge highlights the need for a firm understanding of the anatomy and pathophysiology of brain injuries when making clinical decisions in the intensive care unit.
创伤性脑损伤仍然是一个严重的公共卫生问题，导致数百万人死亡和残疾。为了在面对复杂器官的复杂损伤时实现最佳治疗效果，可以使用多种先进的神经监测技术来指导手术和医疗决策。由于损伤类型的异质性以及该患者群体中存在大量治疗混杂因素，对特定干预措施进行科学研究具有挑战性。这一挑战凸显了在重症监护病房做出临床决策时，牢固掌握脑损伤的解剖学和病理生理学知识的必要性。
