经颅多普勒超声在重型颅脑损伤病人中的应用.doc

经颅多普勒超声在重型颅脑损伤病人中的应用 颅脑损伤病人受伤后早期是一个关键时期，因为此时期损伤脑组织的继发性缺血改变会使危险性增加。脑灌注压的监测在这个时期是非常重要的。一般来说，这需要进行有创的颅内压监测。而经颅多普勒超声（TCD）））1. Chesnut RM, Marshall LF, Klauber MR et al: The role of secondary brain injury in determining outcome from severe head injury.J Trauma, 1993; 34: 216?22 2. Stocchetti N, Furlan A, Volta F: Hypoxemia and arterial hypotension at the accident scene in head injury. J Trauma, 1996; 40: 764?67 3. Robertson CS: Management of cerebral perfusion pressure after traumatic brain injury. Anesthesiology, 2001; 95(6): 1513?17 4. Bullock R, Sakas D, Patterson J et al: Early post-traumatic cerebral blood Flow mapping: correlation with structural damage after focal injury. Acta Neurochir (Wien), 1992; 55(Suppl.): 14?17 5. Bouma GJ, Muizelaar JP, Choi SC et al: Cerebral circulation and metabolism after severe traumatic brain injury: the elusive role of ischemia. J Neurosurg, 1991; 75: 685?93 6. Bouma GJ, Muizelaar JP, Stringer WA et al: Ultra-early evaluation of regional cerebral blood fl ow in severely head-injured patients using xenon enhanced computerised tomography. J Neurosurg, 1992;77: 360?68 7. Tan H, Feng H, Gao L et al: Outcome prediction in severe traumatic brain injury with transcranial Doppler ultrasonography. Chin J Traumatol, 2001; 4(3): 156?60 8. Chesnut RM, Marshall LF, Klauber MR et al: The role of secondary brain injury in determining outcome from severe head injury.J Trauma, 1993; 34: 216?22 9. Rosner MJ: Role of cerebral perfusion pressure in acute brain trauma. Crit Care Med, 1996; 24: 1274; discussion 1275?76 10. Bellner J,Romner B, Reinstrup P et al: Transcranial Doppler sonography pulsatility index (PI) refl ects intracranial pressure (ICP). Surg Neurol,2004; 62(1): 45?51; discussion 51 11. Rosner MJ, Rosner SD, Johnson AH: Cerebral perfusion pressure: Management protocol and clinical results. J Neurosurg, 1995; 83: 949?62 12. Chan KH, Dearden NM, Miller JD et al: Multimodality Monitoring as a guide to treatment of intracranial hypertension a