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Multimodal monitoring combined with hypothermia for the management of severe traumatic brain injury: A case report

机译:多峰监测联合体温过低,对严重创伤性脑损伤管理:案例报告

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摘要

Traumatic brain injury (TBI) is a prominent public health issue that has a significant negative impact on patients and their family members. It is the leading cause of mortality and disability among young (below 50 years old) individuals. Intracranial hypertension (TCH) remains the single most difficult therapeutic challenge for the management of severe TBI. Therapeutic hypothermia may reduce intracranial hypertension and improve patient outcomes; however, the use of hypothermia is controversial. It has been reported that therapeutic hypothermia elicits no therapeutic benefit for patients with TBI. The present study presents two patients with severe(s) TBI who were admitted to 101st Hospital of the People's liberation Army Between June 2017 to October 2017. Multimodal brain monitoring measurements of intracranial pressure, cerebral perfusion pressure (CPP) and bispectral index (BIS) were used during assisted hypothermia for management of patients with sTBI. The duration, degree of hypothermia treatment and speed of re-warming were assessed.
机译:创伤性脑损伤(TBI)是一个突出的公共卫生问题,对患者及其家庭成员具有显着的负面影响。这是年轻人(低于50岁)人的死亡率和残疾的主要原因。颅内高血压(TCH)仍然是严重TBI管理的最困难的治疗挑战。治疗性低温可降低颅内高血压并改善患者结果;然而,使用体温过低是有争议的。据报道,治疗性低温引发了TBI患者的治疗益处。本研究展示了两名严重的严重患者,2017年6月至2017年6月在人民解放军101岁时入院。颅内压,脑灌注压力(CPP)和双光谱指数(BIS)的多模式脑监测测量在辅助体温过低期间用于管理STBI患者。评估持续时间,低温治疗和再加热速度。

著录项

  • 来源
  • 作者单位

    101st Hosp Peoples Liberat Army Dept Neurosurg 101 Xing Yuan North Rd Wuxi 214044 Jiangsu;

    Taizhou 4 Hosp Dept Neurosurg Taizhou 225300 Jiangsu Peoples R China;

    Taizhou 4 Hosp Dept Neurosurg Taizhou 225300 Jiangsu Peoples R China;

    101st Hosp Peoples Liberat Army Dept Neurosurg 101 Xing Yuan North Rd Wuxi 214044 Jiangsu;

    101st Hosp Peoples Liberat Army Dept Neurosurg 101 Xing Yuan North Rd Wuxi 214044 Jiangsu;

    101st Hosp Peoples Liberat Army Dept Neurosurg 101 Xing Yuan North Rd Wuxi 214044 Jiangsu;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 治疗学;
  • 关键词

    multimodal monitoring; hypothermia; traumatic brain injury;

    机译:多峰监测;体温过低;创伤性脑损伤;

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