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创伤性颅脑损伤患者的麻醉方法研究进展

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创伤性颅脑损伤为临床常见的脑部疾病,该病发生率及死亡率均较高.创伤性颅脑损伤疾病分为原发颅脑损伤与继发颅脑损伤,原发颅脑损伤无法逆转,而继发性颅脑损伤可治疗.目前,对创伤性颅脑损伤定义各不相同,较难对该病确切发病率进行量化.创伤性颅脑损伤疾病发生的原因较多,包括最常见的跌倒多见于老年人群,其次为车祸伤、遭受攻击、穿透伤(例如枪伤等),部分患者为多发伤.该病患者病情严重,多数患者面临生命危险,需积极采取有效临床措施进行处理,以稳定患者病情.临床治疗创伤性颅脑损伤疾病多采取手术治疗,可挽救患者生命,而手术需及时、有效开展,该手术对麻醉的要求比较高,故而临床十分重视创伤性颅脑损伤手术患者的麻醉处理.既往临床多给予创伤性颅脑损伤患者静吸复合麻醉,取得了较好麻醉效果,而随着临床对患者麻醉方法的不断研究,发现全凭静脉麻醉的麻醉效果更为有效及安全,临床更为推荐该麻醉方法.本文对创伤性颅脑损伤的麻醉方法研究进展进行综述,以期为创伤性颅脑损伤患者的麻醉提供参考.
Research progress of anesthesia method in patients with traumatic craniocerebral injury
Traumatic craniocerebral injury is a common clinical brain disease with high incidence and mortality.Traumatic craniocerebral injury can be divided into primary craniocerebral injury and secondary craniocerebral injury.Primary craniocerebral injury cannot be reversed,while secondary craniocerebral injury can be treated.At present,the definition of traumatic craniocerebral injury is different,and it is difficult to quantify the exact incidence of this disease.There are many causes of traumatic craniocerebral injury,including the most common fall is more common in the elderly population,followed by car accidents,attacks,penetrating injuries(such as gunshot wounds,etc.),and some patients have multiple injuries.The condition of patients with this disease is serious,most of them are facing life danger,and effective clinical measures should be actively taken to deal with it and stabilize the condition of patients.In the clinical treatment of traumatic craniocerebral injury,surgical treatment is commonly used,which can save the patient's life,and the operation needs to be carried out in a timely and effective manner.The operation has high requirements for anesthesia,so the clinical attention is attached to the anesthesia treatment of patients with traumatic craniocerebral injury surgery.In the past,patients with traumatic craniocerebral injury were usually given combined intravenous and inhalation anesthesia,which achieved good anesthetic effects.However,with the continuous research on the anesthesia methods of patients in clinical practice,it was found that the anesthetic effect of total intravenous anesthesia was more effective and safe,and this anesthesia method was recommended in clinical practice.This article reviews research progress of methods of anesthesia for traumatic craniocerebral injury,in order to provide reference for the anesthesia for patients with traumatic craniocerebral injury.

Traumatic craniocerebral injuryAnesthesiaCombined intravenous and inhalation anesthesiaTotal intravenous anesthesia

刘玲玲

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天津市环湖医院麻醉科,天津 300350

创伤性颅脑损伤 麻醉 静吸复合麻醉 全凭静脉麻醉

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(6)