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中华重症医学电子杂志 ›› 2020, Vol. 06 ›› Issue (03) : 241 -243. doi: 10.3877/cma.j.issn.2096-1537.2020.03.001

所属专题: 重症医学 总编推荐 文献

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重症神经系统疾病患者救治:保护为先
张丽娜1, 蒋渊1, 艾宇航1,()   
  1. 1. 410008 长沙,中南大学湘雅医院重症医学科 国家老年疾病临床医学研究中心(湘雅医院)
  • 收稿日期:2020-07-10 出版日期:2020-08-28
  • 通信作者: 艾宇航
  • 基金资助:
    国家自然科学基金面上项目(81873956)

Management of neurocritical care patients: protection first

Lina Zhang1, Yuan Jiang1, Yuhang Ai1,()   

  1. 1. Department of Critical Care Medicine, Xiangya Hospital, Central South University, National Clinical Research Center for Geriatric Disorders, Changsha 410008, China
  • Received:2020-07-10 Published:2020-08-28
  • Corresponding author: Yuhang Ai
  • About author:
    Corresponding author: Ai Yuhang, Email:
引用本文:

张丽娜, 蒋渊, 艾宇航. 重症神经系统疾病患者救治:保护为先[J]. 中华重症医学电子杂志, 2020, 06(03): 241-243.

Lina Zhang, Yuan Jiang, Yuhang Ai. Management of neurocritical care patients: protection first[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2020, 06(03): 241-243.

重症神经系统疾病患者的治疗重点以预防继发性损伤为主,坚持"保护为先"是最基本的原则。在临床实践中,应深刻认识"稳、等、防、促"基本原理在重症神经系统疾病管理中的作用,践行基于心肺氧输送的器官管理和重症神经系统疾病患者的颅脑结构性管理,突出颅脑血流管理在重症神经系统疾病患者管理中的核心地位,加强对失控失调的炎症应激反应的管理,从而为防治脑功能障碍、精准救治重症神经系统疾病患者提供有力支撑。

The treatment of neurocritical care patients focuses on the prevention of secondary injury. In clinical practice, we should fully understand the basic principles (i.e., stabilization, wait, prevention and promotion) in the management of neurocritical care patients, implement tissue and organ management based on cardiopulmonary oxygen delivery and brain structural management for neurocritical care patients, highlight the key role of craniocerebral blood flow management in the management of neurocritical care patients, and strengthen the management of dysregulated inflammatory stress response, thus providing preferred management for preventing brain dysfunction and accurately treating neurocritical care patients.

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