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儿科重症监护病房中的创伤性脑损伤

Traumatic Brain Injury in the Pediatric Intensive Care Unit.

作者信息

Hussain Elora

出版信息

Pediatr Ann. 2018 Jul 1;47(7):e274-e279. doi: 10.3928/19382359-20180619-01.

Abstract

Head trauma is a leading cause of brain injury in children, and it can have profound lifelong physical, cognitive, and behavioral consequences. Optimal acute care of children with traumatic brain injury (TBI) requires rapid stabilization and early neurosurgical evaluation by a multidisciplinary team. Meticulous attention is required to limit secondary brain injury after the initial trauma. This review discusses pathophysiology, acute stabilization, and monitoring, as well as supportive and therapeutic measures to help minimize ongoing brain injury and optimize recovery in children with TBI. [Pediatr Ann. 2018;47(7):e274-e279.].

摘要

头部创伤是儿童脑损伤的主要原因,并且可能会产生深远的终身身体、认知和行为后果。对创伤性脑损伤(TBI)儿童进行最佳的急性护理需要多学科团队进行快速稳定病情以及早期神经外科评估。需要格外注意以限制初始创伤后的继发性脑损伤。本综述讨论了病理生理学、急性稳定病情及监测,以及有助于将TBI儿童持续的脑损伤降至最低并优化恢复的支持性和治疗性措施。[《儿科年鉴》。2018年;47(7):e274 - e279。]

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