Neurological Surgery 脳神経外科49巻5号

2021年09月発行

特集 頭部外傷診療アップデート—ガイドラインを読み解く Ⅱ　外科的治療と神経集中管理・治療

重症頭部外傷急性期モニタリングと神経集中治療

著者： 中川敦寛¹²³ 工藤大介² 園部真也¹ 麦倉俊司⁴ 久志本成樹² 冨永悌二¹

所属機関： ¹東北大学大学院医学系研究科神経外科学分野 ²東北大学病院高度救命救急センター ³東北大学病院臨床研究推進センター ⁴東北メディカル・メガバンク機構画像統計学分野

ページ範囲：P.955 - P.963

Point
・現在の神経集中治療では二次侵襲を最小限にとどめ，生体の自己回復能力を最大限に引き出す環境を作ることに主眼が置かれている．
・神経学的所見やモニタリングから得られる情報を統合し，頭蓋内圧亢進を的確に評価して治療のタイミングを逃さない．
・今後，インフォマティクスなどがモニタリングや管理の質の向上を支援することが予想されるが，生理学，病態生理を深く理解することが本質であることには変わらない．

参考文献

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