重型颅脑损伤诊治进展（Progress in diagnosis and treatment of severe craniocerebral injury）.docVIP

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重型颅脑损伤诊治进展（Progress in diagnosis and treatment of severe craniocerebral injury）.doc

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重型颅脑损伤诊治进展（Progress in diagnosis and treatment of severe craniocerebral injury）

重型颅脑损伤诊治进展（Progress in diagnosis and treatment of severe craniocerebral injury） In recent years, traumatic brain injury has become the leading cause of death among young people in developed countries. With the rapid development of national economy and traffic, the incidence rate, disability rate and mortality rate of traumatic brain injury are increasing year by year. Epidemiological data show that the incidence of traumatic brain injury in China has exceeded 100/10 million people, of which heavy craniocerebral injuries (severe, traumaticbrain, injury, sTBI) accounted for 18% to 20%. The most common cause of injuries is traffic accidents, and about 50 thousand people die each year in china. In recent years, on the basis of craniocerebral trauma and the prevention and treatment of the application has made great progress, the new theory has been produced and developed, but the sTBI mortality rate and disability rate is still high, the total mortality rate has been maintained at 30% ~ 50%. This article gives a brief account of some problems in clinical diagnosis and treatment of sTBI. Surgical treatment: decompressive craniectomy Although great progress has been made in the diagnosis and treatment of brain injuries, traumatic brain swelling and intractable intracranial hypertension caused by brain edema are still the major factors affecting the prognosis of patients with traumatic brain injury. DeLuca study shows that reducing the intracranial pressure through various measures, such as dehydration, hyperventilation, barbiturate coma, mild hypothermia therapy can control the intracranial pressure, CPP70mmHg, ICP30mmHg, should consider decompressive craniotomy. The typical American professor Becker argues that used for acute unilateral supratentorial intracranial hematoma and severe brain contusion and severe intracranial hypertension in patients with standard large trauma craniotomy (standard trauma craniotomy), this method has been widely used in European countries. Th