Crockard H A
Ann R Coll Surg Engl. 1974 Sep;55(3):111-23.
Experience gained with a wide variety of missile injuries of the brain is presented. Clinical signs and intracranial pressure (ICP) studied in the early post-injury period have been correlated with survival and treatment. Stress is laid on fluid requirements and the importance of controlled ventilation in the management of the labile clinical condition of such patients. Coughing and struggling caused extrusion of blood and brain from the wound, and this was reduced considerably with endotracheal intubation and mechanical ventilation. Post-operatively high ICP could be controlled in potential survivors with continued ventilation.
本文介绍了在各种脑部导弹伤方面所积累的经验。对伤后早期研究的临床体征和颅内压（ICP）与生存及治疗情况进行了关联分析。重点强调了此类患者病情不稳定时液体需求以及控制通气在治疗中的重要性。咳嗽和挣扎会导致伤口出血及脑组织挤出，而气管插管和机械通气可大幅减少这种情况。术后，通过持续通气，潜在幸存者的高颅内压能够得到控制。
