摘要
穿透性颅脑损伤可对中枢神经系统造成毁灭性打击,具有极高的病死率和致残率,幸存者还可能遭受严重影响生活质量的长期并发症。因此,本写作组参考了国内外相关指南、共识,总结近年来临床研究进展,并通过改良德尔菲法向全军神经外科专业委员会50位专家征集意见,其中46位专家回复意见,在穿透性颅脑损伤的分类、早期识别、诊断、急诊处置、高级监护、手术方式、并发症处理以及预后预测等方面形成了52条推荐意见,旨在为穿透性颅脑损伤患者的规范化诊治和科学管理提供参考。
Penetrating brain injury can be devastating to the central nervous system,with extremely high mortality and disability rates.Survivors may also suffer long-term complications that severely affect their quality of life.Therefore,this writing group referred to the relevant guidelines and consensus at home and abroad and summarized the progress of clinical research in recent years.The modified Delphi method was used to solicit opinions from 50 experts of the Neurosurgery Professional Committee of the PLA,and 46 experts responded to the opinions,forming 52 recommendations in the areas of classification,early recognition,diagnosis,emergency treatment,advanced monitoring,surgical methods,management of complications,and prognosis prediction of penetrating brain injury.These recommendations were formed to provide reference for the standardized diagnosis,treatment and scientific management of patients with penetrating brain injury.
作者
中国人民解放军神经外科专业委员会
白红民
屈延
张剑宁
余新光
Neurosurgery Professional Committee of the PLA;Bai Hongmin;Qu Yan;Zhang Jianning;Yu Xinguang(不详;Department of Neurosurgery,General Hospital of Southern Theater Command,Guangzhou 510010,China;Department of Neurosurgery,the Second Affiliated Hospital of Air Force Medical University,Xi′an 710038,China;Department of Neurosurgery,the First Medical Center of PLA General Hospital,Beijing 100853,China;Department of Neurosurgery,Hainan Hospital of PLA General Hospital,Sanya 572013,China)
出处
《中华医学杂志》
CAS
CSCD
北大核心
2024年第13期996-1020,共25页
National Medical Journal of China
关键词
颅脑损伤
穿透性
共识
Head injuries
Penetrating
Consensus
