Pujari Rathin, Hutchinson Peter J, Kolias Angelos G
Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital, University of Cambridge, Cambridge, UK.
NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
J Neurosurg Sci. 2018 Oct;62(5):584-592. doi: 10.23736/S0390-5616.18.04533-2. Epub 2018 Jun 27.
Traumatic brain injury (TBI) remains a leading cause of mortality and disability worldwide. Surgical intervention is one of the main pillars of TBI management. The mainstay of treatment for substantial intracranial hematomas is surgical evacuation. In addition, patients with TBI may have brain swelling and increased intracranial pressure. If the latter is refractory to medical management, surgical interventions can be helpful. In this review we seek to outline the major tenets of the surgical management of TBI.
创伤性脑损伤(TBI)仍是全球范围内导致死亡和残疾的主要原因之一。手术干预是TBI治疗的主要支柱之一。实质性颅内血肿的主要治疗方法是手术清除。此外,TBI患者可能会出现脑肿胀和颅内压升高。如果后者对药物治疗无效,手术干预可能会有所帮助。在本综述中,我们旨在概述TBI手术治疗的主要原则。