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Acute Management of Children With Traumatic Brain Injury

机译:儿童颅脑外伤的急性处理

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摘要

Traumatic brain injury (TBI) is a major public health problem in the United States. In children, it is a leading cause of morbidity and mortality. The purpose of this article is to review the epidemiology, pathophysiology, and the evidence for management of children with TBI in the emergency department. The main objectives of TBI management are to stabilize and resuscitate and to avoid secondary brain injury (hypoxemia, hypercapnia, hypotension, hyperthermia, electrolyte imbalance, and seizure). This article will also review the evidence for the management of children with mild and moderate TBI.
机译:脑外伤(TBI)是美国的主要公共卫生问题。在儿童中,它是发病率和死亡率的主要原因。本文的目的是回顾急诊科TBI儿童的流行病学,病理生理学和管理证据。 TBI管理的主要目标是稳定和复苏并避免继发性脑损伤(低氧血症,高碳酸血症,低血压,体温过高,电解质紊乱和癫痫发作)。本文还将回顾轻度和中度TBI儿童治疗的证据。

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