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Traumatisk hjerneskade - patofysiologi og klinik set fra et neurokirurgisk synspunkt
Engelsk titel: Traumatic brain injury - pathophysiology and clinic seen from a neurosurgical point of view Läs online Författare: Nörgaard Eskesen V Språk: Dan Antal referenser: 10 Dokumenttyp: Artikel UI-nummer: 07011681

Tidskrift

Ugeskrift for Laeger 2007;169(3)208-10 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Traumatic brain injury (TBI) can be divided into primary and secondary brain damage. The primary damage occurs at the time of impact, induces neuronal death and is refractory to treatment. The secondary damage occurs at some time after the impact, has extracranial (hypoxia/hypotension) and intracranial (haematomas/swelling) causes and is largely preventable and treatable. Initially, TBI should be treated by the principles of ATLS. Space-occupying haematomas should be evacuated and neuro-intensive monitoring and treatment of intracranial pathology are mandatory in severe TBI.