Solumsmoen Stian, Lilja-Cyron Alexander, Buch Kåre Fugleholm, Kelsen Jesper
Ugeskr Laeger. 2018 Dec 17;180(51).
Penetrating brain injury is a severe form of traumatic brain injury. It is significantly less prevalent than closed head injury but carries a much worse prognosis. The experience with traumatic penetrating brain injury in Denmark is limited. The most common causes in penetrating brain injury in Denmark are: violence, accidents and suicidal behaviour. The aim of this review is to give a brief update on historical background, mechanisms of disease, recommended medical and surgical treatment, and complications. Clinical examples and a treatment algorithm are discussed.
穿透性脑损伤是创伤性脑损伤的一种严重形式。它的发生率明显低于闭合性颅脑损伤,但预后要差得多。丹麦在创伤性穿透性脑损伤方面的经验有限。丹麦穿透性脑损伤最常见的原因是:暴力、事故和自杀行为。本综述的目的是简要介绍其历史背景、发病机制、推荐的药物和手术治疗以及并发症。文中还讨论了临床实例和治疗算法。