重视重型创伤性脑损伤的早期规范化救治

Emphasis on early standardized treatment of severe traumatic brain injury

创伤性脑损伤(TBI)是导致青中年人群死亡和残疾的最主要原因之一。高病死率和致残率给社会带来沉重的经济负担。TBI后应展开快速、规范的急诊救治,预防或纠正导致神经功能恶化的继发性损伤因素,保护患者的神经功能,拯救生命,改善预后。笔者针对TBI,特别是重型TBI(sTBI)早期救治过程中院前救治、早期救治原则等几个重要方面结合最新文献及进展进行综述,并对sTBI救治过程中几个目前仍存在争议的问题进行阐述,为更加规范化的救治提供参考。

Traumatic brain injury(TBI)is one of the major causes of mortality and disability among young and middle-aged people.High mortality and disability rates impose a heavy economic burden on society.After TBI,rapid and standardized emergency treatment should be carried out to prevent or correct secondary injury factors leading to deterioration of nerve function,protect patients'nerve function,save lives and improve prognosis.Base on the latest research progress and literature review,the author summarizes several important aspects of TBI,especially the early treatment of severe TBI,and elaborates on several controversial issues in the treatment of severe TBI,providing reference for more standardized treatment.