Krivosic-Horber R
Anesth Analg (Paris). 1980;37(3-4):173-5.
The child with a severe head injury requires a three component's treatment: against cerebral edema, against restlessness and vegetative trouble, against shock in case of scalp-hemorrage or attendant traumatism. As there is no agreement neither about the treatment of cerebral edema nor that of sedative treatment, we continue to use systematically artificial ventilation, sometimes corticoids, rarely mannitol. Decerebration is treated by a lytic coktail enclosing always diazepam and in case of failure, sodium gamma-hydroxybutyrate.
对抗脑水肿、对抗躁动和植物神经紊乱、在头皮出血或伴有外伤时对抗休克。由于在脑水肿治疗和镇静治疗方面均未达成共识,我们仍系统地持续使用人工通气,有时使用皮质类固醇,很少使用甘露醇。去大脑强直通过一种始终包含地西泮的溶细胞合剂进行治疗,若治疗失败则使用γ-羟基丁酸钠。