Acute Management of Moderate-Severe Traumatic Brain Injury

被引：10

作者：

Whitaker-Lea, Wittstatt Alexandra ^{[1
]}

机构：

[1] Virginia Commonwealth Univ, Dept Neurosurg, 417 North 11th St,6th Floor,POB 980631, Richmond, VA 23298 USA

来源：

PHYSICAL MEDICINE AND REHABILITATION CLINICS OF NORTH AMERICA | 2017年 / 28卷 / 02期

关键词：

Intracranial pressure; Management; Outcome; Traumatic brain injury; SEVERE HEAD-INJURY; DECOMPRESSIVE CRANIECTOMY; INTRACRANIAL-PRESSURE; CLINICAL-TRIALS; PREVENTION; HYPOTHERMIA; INDUCTION; COMA;

D O I：

10.1016/j.pmr.2016.12.002

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Traumatic brain injury (TBI) continues to be a major public health problem. Proposed treatments have not withstood testing in clinical trials because of failure to account for different types of TBI and other weaknesses in trial design. Management goals continue to be prevention and prompt treatment of secondary insults (hypotension, hypoxia, and other physiologic derangements). This goal is best accomplished by careful attention to airway, breathing, circulation, and basic principles of intensive care unit management. Attempts to intervene prophylactically to prevent intracranial hypertension or other complications have not been beneficial and may even have deleterious effects.

引用

页码：227 / +

页数：18

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