天津医药

天津医药 ›› 2017, Vol. 45 ›› Issue (8): 788-790.doi: 10.11958/20170651

• 专题 颅脑神经创伤 • 上一篇    下一篇

颅脑外伤的精准化治疗

彭汤明， 陈礼刚△   

  1. 西南医科大学附属医院神经外科 （邮编646000）
  • 收稿日期:2017-06-09 修回日期:2017-07-14 出版日期:2017-08-15 发布日期:2017-08-15
  • 通讯作者: △通讯作者 E-mail: chengligang.cool@163.com E-mail:chengligang.cool@163.com
  • 作者简介:彭汤明 （1985）， 男， 硕士， 主治医师， 主要从事颅脑外伤及脑肿瘤研究

Precise medicine of traumatic brain injury

PENG Tang-ming, CHEN Li-gang△   

  1. Department of Neurosurgery, the Affiliated Hospital of Southwest Medical University, Luzhou 646000, China
  • Received:2017-06-09 Revised:2017-07-14 Published:2017-08-15 Online:2017-08-15
  • Contact: △Corresponding Author E-mail: chengligang.cool@163.com E-mail:chengligang.cool@163.com

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摘要： 经过几代人的努力， 现代医学已经从经验医学、 循证医学过度到精准医学时代， 精准医学也已成为全球临 床工作者的共同追求目标。然而， 颅脑外伤涉及范围广、 损伤类型多样、 损伤程度复杂， 现阶段的治疗模式与颅脑外 伤的精准化治疗仍然存在巨大差距。因此， 必须尊重颅脑外伤发展的客观事实， 不断完善颅脑外伤的监测与治疗手 段， 不断完善全球化、 多中心、 大数据、 前瞻性的临床研究， 真正做到 “精确、 准时、 共享、 个体化” 的精准化治疗方案。

关键词: 颅脑损伤, 颅内压, 去骨瓣减压, 亚低温, 精准医疗

Abstract: With the efforts of several generations, modern medicine has been from experience medicine and evidencebased medicine to the precise medicine. The precision medicine has also become a common goal for global clinical workers. However, traumatic brain injury involves a wide range and various types of injuries. The extent of the brain damage caused by trauma is complex. There is still a big gap between current medicine and precise medicine in the treatment of traumatic brain injury. Therefore, to achieve "accurate, punctual, sharing and individualized" precision medicine of traumatic brain injury, we must follow the objective routines of traumatic brain injury, and constantly improve the monitoring and treatment means of traumatic brain injury, and constantly improve the clinical research with globalization, multi-center, large data and prospection.

Key words: craniocerebral trauma, intracranial pressure, craniectomy, hypothermia, precise medicine