Research on clinical treatment methods in neurosurgery for critically ill patients with traumatic brain injury
危重颅脑外伤患者神经外科临床治疗方法研究

摘要

高致残率以及高致死率均属于危重颅脑外伤患者的主要特点，我国现阶段对于危重颅脑外伤的诊断标准包括：广泛颅骨骨折，脑挫裂上，脑干损伤或颅内血肿。其次则为深昏迷时间＞12h，出现意识障碍逐步加重或是再昏迷情况。最后则为体温、脉搏以及血压等指标出现明显波动。现阶段针对危重颅脑外伤患者的治疗受到了多方面的重视，不同损伤类型以及程度的患者，在治疗方案方面具有较为明显的差异，在医疗技术迅猛发展的背景下，现阶段针对危重颅脑外伤患者的治疗模式呈现出多样化的特点，对于确保患者生命健康，降低致残率、致死率以及改善预后等方面均具有重要的意义。本文综述了近年来针对危重颅脑外伤患者的神经外科临床治疗措施。

Abstract

High disability rate and high mortality rate are the main characteristics of critically ill patients with traumatic brain injury. At present, the diagnostic criteria for critically ill traumatic brain injury in China include: extensive skull fracture, cerebral contusion, brainstem injury or intracranial hematoma. Secondly, if the duration of deep coma exceeds 12 hours, there may be a gradual worsening of consciousness disorders or a relapse into coma. Finally, there were significant fluctuations in indicators such as body temperature, pulse, and blood pressure. At present, the treatment of critically ill patients with traumatic brain injury has received attention from various aspects. Patients with different types and degrees of injuries have significant differences in treatment plans. Against the backdrop of rapid development of medical technology, the treatment modes for critically ill patients with traumatic brain injury have shown diversified characteristics, which is of great significance for ensuring patients' life and health, reducing disability and mortality rates, and improving prognosis. This article reviews the clinical treatment measures of neurosurgery for critically ill patients with traumatic brain injury in recent years.