创伤性脑损伤的管理：最新进展
Management of Traumatic Brain Injury: An Update.
作者信息
Abou El Fadl Mohamed H, O'Phelan Kristine H
机构信息
Neurocritical Care, Department of Neurology, University of Miami, Miller School of Medicine, 1120 Northwest 14th Street, Suite 1356, Miami, FL 33136, USA.
Neurocritical Care, Department of Neurology, University of Miami, Miller School of Medicine, 1120 Northwest 14th Street, Suite 1356, Miami, FL 33136, USA.
出版信息
Neurosurg Clin N Am. 2018 Apr;29(2):213-221. doi: 10.1016/j.nec.2017.11.002.
The care of patients with traumatic brain injury can be one of the most challenging and rewarding aspects of clinical neurocritical care. This article reviews the approach to unique aspects specific to the care of this patient population. These aspects include appropriate use of sedation and analgesia, and the principles and the clinical use of intracranial monitors. Common clinical challenges encountered in these patients are also discussed, including the treatment of intracranial hypertension, temperature management, and control of sympathetic hyperactivity.
创伤性脑损伤患者的护理可能是临床神经重症护理中最具挑战性且最有意义的方面之一。本文回顾了针对这一患者群体护理的独特方面的处理方法。这些方面包括镇静和镇痛的合理使用，以及颅内监测器的原理和临床应用。还讨论了这些患者常见的临床挑战，包括颅内高压的治疗、体温管理和交感神经过度兴奋的控制。
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