School of Healthcare Sciences, Cardiff University, Cardiff, Wales.
Nurs Stand. 2021 Jan 13;36(1):76-82. doi: 10.7748/ns.2020.e11551. Epub 2020 Nov 2.
Traumatic brain injury (TBI) is a time-critical injury, which means it is essential that patients with suspected TBI are assessed promptly and systematically using an approach such as ABCDE (airway, breathing, circulation, disability, exposure). Existing or emerging abnormal physiological parameters must be identified and addressed to maintain adequate brain perfusion, limit neurological cell death and minimise long-term disability. This article explains the pathophysiology of TBI and outlines the elements of a systematic patient assessment using the ABCDE approach.
创伤性脑损伤（TBI）是一种时间敏感性损伤，这意味着疑似 TBI 的患者必须立即使用 ABCDE（气道、呼吸、循环、残疾、暴露）等方法进行迅速而系统的评估。必须识别和处理现有的或新出现的异常生理参数，以维持足够的脑灌注，限制神经细胞死亡，并最大限度地减少长期残疾。本文解释了 TBI 的病理生理学，并概述了使用 ABCDE 方法进行系统患者评估的要素。
