Drubach D A, Kelly M P, Dolif C
Department of Neurology, University of Maryland School of Medicine, Baltimore.
Crit Care Clin. 1994 Jul;10(3):635-41.
Our work and multiple other lines of evidence suggest that patients suffering from neurologic and psychiatric disorders are over-represented in the population suffering traumatic injuries. In addition, a premorbid history of such disorders can impact on the severity of injury, as well as present particular problems in the acute management of this population. Constant vigilance, leading to prompt identification of concurrent neurologic and psychiatric illness in trauma victims, is critical for patient management. The interactions of these disorders and their treatments present complex clinical challenges to the traumatologist and the intensivist.
我们的研究及其他多项证据表明，患有神经和精神疾病的患者在遭受创伤性损伤的人群中占比过高。此外，此类疾病的病前史会影响损伤的严重程度，并且在对这一人群的急性处理中会带来特殊问题。持续保持警惕，以便及时识别创伤受害者同时存在的神经和精神疾病，对患者管理至关重要。这些疾病及其治疗之间的相互作用给创伤外科医生和重症监护医生带来了复杂的临床挑战。
