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《第4版美国重型颅脑损伤诊疗指南》解读

2018-02-20 河北医科大学学报.2018.39(2):125-129.

严重创伤性颅脑损伤

美国创伤基金会（ＢＴＦ）于２０１６年９月２１日在线发表了《第４版美国重型颅脑损伤诊疗指南》，共有１８个主题：１１个主题涉及治疗；３个主题涉及监测；４个主题涉及治疗阈值。第４版在设计上有别于第３版的１５个主题，其中新主题包括去骨瓣减压和脑脊液引流；麻醉剂、镇痛剂、镇静剂、类固醇激素的应用及癫痫预防没有明显改动；进阶脑监测及进阶脑监测阈值进行了创新命名和修订；共有１８９项研究纳入，作为推荐形成的证据。

中文标题：

《第4版美国重型颅脑损伤诊疗指南》解读

发布机构：

发布日期：

2018-02-20

简要介绍：

美国创伤基金会（ＢＴＦ）于２０１６年９月２１日在线发表了《第４版美国重型颅脑损伤诊疗指南》，共有１８个主题：１１个主题涉及治疗；３个主题涉及监测；４个主题涉及治疗阈值。第４版在设计上有别于第３版的１５个主题，其中新主题包括去骨瓣减压和脑脊液引流；麻醉剂、镇痛剂、镇静剂、类固醇激素的应用及癫痫预防没有明显改动；进阶脑监测及进阶脑监测阈值进行了创新命名和修订；共有１８９项研究纳入，作为推荐形成的证据。新版指南有助于临床决策，但不能替代临床的个性化治疗，该指南的发布将对重型颅脑损伤的救治起到巨大推动作用。本文主要针对更新的诊疗指南进行解读。

作者： 河北医科大学第二医院神经外科 焦保华 赵宗茂

 

拓展指南：与颅脑损伤相关指南：

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  1. [GetPortalCommentsPageByObjectIdResponse(id=293179, encodeId=48b22931e963, content=学习谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Mon Mar 05 09:03:08 CST 2018, time=2018-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293139, encodeId=3a28293139e4, content=学习了.谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Mar 05 07:13:02 CST 2018, time=2018-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293096, encodeId=a76e293096b0, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a8f22260741, createdName=121832a9m88暂无昵称, createdTime=Mon Mar 05 06:13:59 CST 2018, time=2018-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293090, encodeId=ff7729309099, content=非常好.谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/21/9461f3b3c9f14e1d844256cdd08f2cf3.jpg, createdBy=a30f1426910, createdName=swfzhanggui, createdTime=Mon Mar 05 06:08:37 CST 2018, time=2018-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293086, encodeId=205529308666, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Mon Mar 05 05:50:25 CST 2018, time=2018-03-05, status=1, ipAttribution=)]
    2018-03-05 龙胆草

    学习谢谢分享

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=293179, encodeId=48b22931e963, content=学习谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Mon Mar 05 09:03:08 CST 2018, time=2018-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293139, encodeId=3a28293139e4, content=学习了.谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7c592194322, createdName=1209e435m98(暂无昵称), createdTime=Mon Mar 05 07:13:02 CST 2018, time=2018-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293096, encodeId=a76e293096b0, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a8f22260741, createdName=121832a9m88暂无昵称, createdTime=Mon Mar 05 06:13:59 CST 2018, time=2018-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293090, encodeId=ff7729309099, content=非常好.谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/10/21/9461f3b3c9f14e1d844256cdd08f2cf3.jpg, createdBy=a30f1426910, createdName=swfzhanggui, createdTime=Mon Mar 05 06:08:37 CST 2018, time=2018-03-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293086, encodeId=205529308666, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Mon Mar 05 05:50:25 CST 2018, time=2018-03-05, status=1, ipAttribution=)]
    2018-03-05 1209e435m98(暂无昵称)

    学习了.谢谢分享

    0

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    2018-03-05 121832a9m88暂无昵称

    学习了

    0

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    2018-03-05 swfzhanggui

    非常好.谢谢分享

    0

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    2018-03-05 秀红

    学习了

    0

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