无创脑水肿动态监测技术在颅脑损伤急危重症救治中的应用

Application of noninvasive brain-edema dynamic monitoring in critically ill patients with traumatic brain injury

脑水肿可继发于多种原因导致的颅脑损伤,严重者可发生脑疝或死亡。精准实时监测脑水肿变化、合理应用脱水药物、及时处理脑水肿情况对改善患者预后极为重要。然而,目前临床上常用的监测手段均存在不同程度的缺陷。无创脑水肿动态监测技术是一种新兴的监测手段,可通过电磁扰动等技术使脑水肿程度得以量化,直观反映颅脑深部组织的水肿状态。本文就无创脑水肿动态监测技术在颅脑损伤急危重症患者救治工作中的应用情况进行综述,以期为临床脑水肿监测提供参考。

Brain edema could be secondary to cerebral lesion caused by a variety of reasons,severe cases may result in brain herniation or even death.Accurate real-time monitoring of cerebral edema,rational application of dehydrating drugs,and timely treatment of cerebral edema were very important for patients.However,there were defects in the monitoring methods commonly used in clinical practice.Noninvasive brain-edema monitoring was a new method,which can quantify the degree of brain edema by electromagnetic disturbance and directly reflect the state of brain edema.This article reviews the application of noninvasive brain-edema monitoring in the treatment of in critically ill patients with traumatic brain injury.