MEDICAL COMPLICATIONS OF HEAD-INJURY

被引:39
作者
KAUFMAN, HH [1 ]
TIMBERLAKE, G [1 ]
VOELKER, J [1 ]
PAIT, TG [1 ]
机构
[1] W VIRGINIA UNIV,MED CTR,SCH MED,DEPT SURG,MORGANTOWN,WV 26506
关键词
D O I
10.1016/S0025-7125(16)30271-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
There are many common and significant medical complications of head injury. These include (1) cardiovascular problems such as hyperdynamic state, myocardial injury, and dysrhythmias; (2) respiratory changes such as neurogenic pulmonary edema, hypoxia, abnormal ventilatory patterns, pulmonary infections, and pulmonary emboli secondary to deep vein thrombosis; (3) consumption coagulopathy; (4) water and electrolyte derangements - hypo- and hypernatremia; (5) hypothalamic/pituitary dysfunction - syndrome of inappropriate secretion of antidiuretic hormone and diabetes insipidus; (6) increased general metabolism with loss of immunocompetence, respiratory compromise, and complications of decreased activity; (7) gastrointestinal difficulties, particularly stress gastritis; and (8) infectious problems including those related to contamination from open wounds and foreign bodies such as monitors.
引用
收藏
页码:43 / 60
页数:18
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