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静动脉二氧化碳分压差在重型颅脑创伤患者治疗中的应用
Research progress in guiding the clinical treatment of severe traumatic brain injury with central venous-to-arterial carbon dioxide partial pressure difference
【摘要】 重型颅脑创伤(sTBI)作为临床常见的危重症,发病率逐年上升,且sTBI患者常预后不佳。近年的研究发现,静动脉二氧化碳分压差(Pcv-aCO2)对患者早期病情评估、指导调整治疗方案、预测疾病结局等方面有较好的临床应用价值。本文对近年来Pcv-aCO2在sTBI治疗中的应用进行综述。
【Abstract】 The severe traumatic brain injury is critical with increasing incidence yearly. Patients with sTBI often have poor prognosis. Recent studies have found that central venous-to-arterial carbon dioxide partial pressure difference(Pcv-aCO2) has good clinical application value for assessment of patients’ early condition, adjustment of treatment plan and predicting prognosis. This paper reviews the application of Pcv-aCO2 in the treatment of sTBI.
【关键词】 重型颅脑创伤;
二氧化碳分压差;
微循环;
心肌损伤;
【Key words】 severe traumatic brain injury; Pcv-aCO2; microcirculation; myocardium injury;
【Key words】 severe traumatic brain injury; Pcv-aCO2; microcirculation; myocardium injury;
【基金】 中华国际医学交流基金会2021心血管多学科整合思维研究基金(z-2016-23-2101-30)
- 【文献出处】 临床神经外科杂志 ,Journal of Clinical Neurosurgery , 编辑部邮箱 ,2023年03期
- 【分类号】R651.15
- 【下载频次】8