Ha Eun Jin
Department of Critical Care Medicine, Seoul National University Hospital, Seoul, Korea.
J Korean Neurosurg Soc. 2022 May;65(3):354-360. doi: 10.3340/jkns.2021.0308. Epub 2022 Apr 26.
Traumatic brain injury (TBI) is the leading cause of death and disability in children. Survivors of severe TBI are more susceptible to functional deficits, resulting in disability, poor quality of life, cognitive decline, and mental health problems. Despite this, little is known about the pathophysiology of TBI in children and how to manage it most effectively. Internationally, efforts are being made to expand knowledge of pathophysiology and develop practical clinical treatment recommendations to improve outcomes. Here we discuss recently updated evidence and management of severe pediatric TBI.
创伤性脑损伤(TBI)是儿童死亡和残疾的主要原因。重度TBI幸存者更容易出现功能缺陷,导致残疾、生活质量差、认知能力下降和心理健康问题。尽管如此,人们对儿童TBI的病理生理学以及如何最有效地进行治疗知之甚少。在国际上,各方正在努力扩大对病理生理学的认识,并制定切实可行的临床治疗建议以改善治疗效果。在此,我们讨论近期更新的关于重度小儿TBI的证据及治疗方法。