医学
创伤性脑损伤
复苏
脑灌注压
脑外伤
第七节 颅内压监测
颅内压
急诊医学
麻醉
灌注
脑血流
重症监护医学
内科学
精神科
出处
期刊:The Lancet
[Elsevier]
日期:2000-09-01
卷期号:356 (9233): 923-929
被引量:2261
标识
DOI:10.1016/s0140-6736(00)02689-1
摘要
The decrease in mortality and improved outcome for patients with severe traumatic brain injury over the past 25 years can be attributed to the approach of "squeezing oxygenated blood through a swollen brain". Quantification of cerebral perfusion by monitoring of intracranial pressure and treatment of cerebral hypoperfusion decrease secondary injury. Before the patient reaches hospital, an organised trauma system that allows rapid resuscitation and transport directly to an experienced trauma centre significantly lowers mortality and morbidity. Only the education of medical personnel and the institution of trauma hospital systems can achieve further improvements in outcome for patients with traumatic brain injuries.
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