脑创伤后继发性脑损害的监测及其临床意义

被引:5
作者
陈先震
楼美清
沈照立
曹响元
赵耀东
机构
[1] 上海市同济大学附属第十人民医院
关键词
继发性; 脑损害; 脑病; 脑创伤; 临床意义;
D O I
暂无
中图分类号
R651.15 [];
学科分类号
1002 ; 100210 ;
摘要
<正>颅脑损伤的幸存者中有50%受累于继发性脑损害(second brain insult,SBI)。尽管原发性神经损害的逆转较为困难,但继发性脑损害却是可以尽量减少或控制的[1],这也是颅脑损伤救治的重点所在。本文就近年来继发性脑损害的发病机制及监测进展作一综述。
引用
收藏
页码:836 / 839
页数:4
相关论文
共 11 条
[1]  
Management of patients with severe traumatic brain injury guided by intraventricular intracranial pressure monitoring: a report of 136 cases[J] . Tao ZENG,Liang GAO.Chinese Journal of Traumatology (English Edition) . 2010 (3)
[2]  
A Different View of Lactate in Trauma Patients: Protecting the Injured Brain[J] . Elizabeth L. Cureton,Rita O. Kwan,Kristopher C. Dozier,Javid Sadjadi,Jay D. Pal,Gregory P. Victorino.Journal of Surgical Research . 2010 (1)
[3]  
Brain tissue oxygen and outcome after severe traumatic brain injury: A systematic review[J] . Eileen Maloney-Wilensky,Vicente Gracias,Arthur Itkin,Katherine Hoffman,Stephanie Bloom,Wei Yang,Susan Christian,Peter D. LeRoux.Critical Care Medicine . 2009 (6)
[4]  
Consensus Meeting on Microdialysis in Neurointensive Care[J] . Intensive Care Medicine . 2005 (12)
[5]   Management of brain-injured patients by an evidence-based medicine protocol improves outcomes and decreases hospital charges [J].
Fakhry, SM ;
Trask, AL ;
Waller, MA ;
Watts, DD .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2004, 56 (03) :492-499
[6]  
Measuring Cerebral Oxygenation During Normobaric Hyperoxia: A Comparison of Tissue Microprobes, Near-Infrared Spectroscopy, and Jugular Venous Oximetry in Head Injury[J] . Andrew D. McLeod,Farrell Igielman,Clare Elwell,Mark Cope,Martin Smith.Anesthesia & Analgesia . 2003 (3)
[7]  
Hyperthermia following traumatic brain injury: a critical evaluation[J] . Hilaire J Thompson,Nancy C Tkacs,Kathryn E Saatman,Ramesh Raghupathi,Tracy K McIntosh.Neurobiology of Disease . 2003 (3)
[8]   Oxidative damage after severe head injury and its relationship to neurological outcome [J].
Paolin, A ;
Nardin, L ;
Gaetani, P ;
Baena, RRY ;
Pansarasa, O ;
Marzatico, F .
NEUROSURGERY, 2002, 51 (04) :949-954
[9]  
Effect of hyperventilation on cerebral blood flow in traumatic head injury: Clinical relevance and monitoring correlates[J] . Jonathan P. Coles,Pawan S. Minhas,Tim D. Fryer,Peter Smielewski,Franklin Aigbirihio,Tim Donovan,Stephen P. M. J. Downey,Guy Williams,Dot Chatfield,Julian C. Matthews,Arun K. Gupta,T. Adrian Carpenter,John C. Clark,John D. Pickard,David K. Menon.Critical Care Medicine . 2002 (9)
[10]   Brain TXA2 and PGI2 levels related to diffuse brain injury with secondary insults [J].
Zhou, F ;
Xiang, Z ;
Yu, YS ;
Jun, SS ;
Piper, IR ;
Thomson, D ;
Miller, JD .
JOURNAL OF CLINICAL NEUROSCIENCE, 1999, 6 (04) :306-308