Neurological Surgery 脳神経外科46巻11号

2018年11月発行

連載 日常診療に役立つ“頭部外傷”のminimum essence

（3）頭部外傷における神経集中治療

著者： 小畑仁司¹

所属機関： ¹大阪府三島救命救急センター

ページ範囲：P.1027 - P.1039

Ⅰ．神経集中治療とは
　神経集中治療（neurocritical careあるいはneurointensive care）の目的は，神経学の知識を背景とし，さまざまな侵襲的・非侵襲的モニタリングを駆使して頭蓋内環境を最適化することにより，脳損傷を最小限にとどめて重篤脳損傷患者の転帰改善を図ることにある³⁹⁾．このため，担当医—neurointensivist—は脳神経と全身臓器の病態生理に精通し，関連各職種を統括して集学的治療を行う³⁰⁾．傷害された脳の病態・生理に即した呼吸・循環・代謝の全身管理は，脳指向型集中治療と換言できる^34,37)．逆に，脳損傷がもたらす全身への影響も看過してはならない²⁹⁾．

参考文献

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