Decompressive craniectomy and intracranial hypertension

被引：7
作者：
Fourcade, O.
Fuzier, R.
Daboussi, A.
Gigaud, K.
Tremoulet, M.
Samii, K.
机构：
[1] Univ Toulouse 3, CHU Toulouse, Dept Anesthesie Reanimat, Hop Purpan, F-31059 Toulouse 09, France
[2] CHU Toulouse, Hop Purpan, Serv Neurochirurg, F-31059 Toulouse, France
来源：
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 2006年 / 25卷 / 08期
关键词：
decompressive craniectomy; intracranial hypertension; prognosis; head trauma;
D O I：
10.1016/j.annfar.2006.03.015
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Decompressive craniectomy was purposed for the treatment of refractory intracranial hypertension after head injury. This review discusses results obtained by this surgery in severe head trauma. Several studies have confirmed a reduction in intracranial pressure secondary to decompressive craniectomy. Mortality decreased and the proportion of good outcome of the survivors increased. These results have not been confirmed prospectively, and indications have to be clarified. The positive effects of decompressive craniectomy compared to barbiturate or hypocapnia in the "second tier therapy" in refractory intracranial hypertension could be interesting to evaluate. (c) 2006 Elsevier SAS. Tous droits reserves.
引用
收藏
页码：858 / 862
页数：5
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