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普布卓玛, 陈焕, 陈文劲, 杜微, 蔺国英, 潘文君, 程莉, 桂喜盈, 蔡鑫, 旦增曲珍, 付建垒, 李茜玮, 次央, 吉律, 次仁桑珠, 达瓦, 郭娟, 邱成, 王小亭, 晁彦公, 刘大为, 柴文昭, 朱世宏. 高原神经重症患者监测管理专家共识[J]. 协和医学杂志, 2022, 13(1): 24-38. doi: 10.12290/xhyxzz.2021-0584
引用本文: 普布卓玛, 陈焕, 陈文劲, 杜微, 蔺国英, 潘文君, 程莉, 桂喜盈, 蔡鑫, 旦增曲珍, 付建垒, 李茜玮, 次央, 吉律, 次仁桑珠, 达瓦, 郭娟, 邱成, 王小亭, 晁彦公, 刘大为, 柴文昭, 朱世宏. 高原神经重症患者监测管理专家共识[J]. 协和医学杂志, 2022, 13(1): 24-38. doi: 10.12290/xhyxzz.2021-0584
PHURBU Droma, CHEN Huan, CHEN Wenjin, DU Wei, LIN Guoying, PAN Wenjun, CHENG Li, GUI Xiying, CAI Xin, CHODRON Tenzin, FU Jianlei, LI Qianwei, TSE Yang, JI Lyu, TSERING Samdrup, DA Wa, GUO Juan, QIU Cheng, WANG Xiaoting, CHAO Yangong, LIU Dawei, CHAI Wenzhao, ZHU Shihong. Expert Consensus on Monitoring and Management of Patients with Critical Neurological Illness at High Altitudes[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(1): 24-38. doi: 10.12290/xhyxzz.2021-0584
Citation: PHURBU Droma, CHEN Huan, CHEN Wenjin, DU Wei, LIN Guoying, PAN Wenjun, CHENG Li, GUI Xiying, CAI Xin, CHODRON Tenzin, FU Jianlei, LI Qianwei, TSE Yang, JI Lyu, TSERING Samdrup, DA Wa, GUO Juan, QIU Cheng, WANG Xiaoting, CHAO Yangong, LIU Dawei, CHAI Wenzhao, ZHU Shihong. Expert Consensus on Monitoring and Management of Patients with Critical Neurological Illness at High Altitudes[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(1): 24-38. doi: 10.12290/xhyxzz.2021-0584

高原神经重症患者监测管理专家共识

doi: 10.12290/xhyxzz.2021-0584
基金项目: 

中央引导地方项目:脑监测导向西藏地区重症相关脑功能不全的管理与治疗 XZ202101YD0019C

详细信息
    通讯作者:

    王小亭,E-mail: icuting@163.com

    柴文昭,E-mail: 13911070864@163.com

    普布卓玛、陈焕对本文同等贡献

    普布卓玛、陈焕对本文同等贡献

  • 中图分类号: R45;R322.81

Expert Consensus on Monitoring and Management of Patients with Critical Neurological Illness at High Altitudes

Funds: 

The Management and Treatment of Critical Illness Related Brain Dysfunction Oriented by Cerebral Monitoring in Tibetan Area XZ202101YD0019C

More Information
  • 摘要: 神经重症是重症医学的重要分支,其损伤机制复杂多样、病理生理瞬息万变,不同的病理生理变化决定了不同的脑损伤程度。在特殊的高原环境下,神经重症发病率更高,发病年龄年轻化,病情进展速度快,损伤程度严重。为规范高原神经重症患者的诊疗,改进监测管理流程,预防不可逆性脑损伤,改善神经系统预后,由中国冷静治疗研究组、中国重症超声研究组和西藏重症医学质控中心组织专家,根据国内外文献及多年的临床实践经验,组织重症医学、神经外科等领域专家在充分讨论和沟通的基础上制定了“高原神经重症患者监测管理专家共识”,以提高临床医师对高原神经重症患者的监测管理水平。
    作者贡献:刘大为、蔺国英牵头制订共识框架;王小亭负责组建共识制订工作组,组织起草共识初稿;陈焕、普布卓玛负责查阅文献、撰写及修订共识初稿;其他成员负责对共识内容进行审校、修订和补充。
    利益冲突:共识制订工作组所有参与人员均声明不存在利益冲突
    共识专家组成员 (按姓氏首字母排序):
    艾山木(陆军医科大学大坪医院),蔡书翰(武汉大学中南医院),蔡鑫(西藏自治区人民医院),柴文昭(中国医学科学院北京协和医院),晁彦公(清华大学第一附属医院),陈焕(中国医学科学院北京协和医院),陈铭铭(中国医科大学附属第一医院),陈文劲(首都医科大学宣武医院),程莉(西藏自治区人民医院),次央(西藏自治区人民医院),次仁桑珠(西藏自治区藏医院),达瓦(拉萨市人民医院),旦增曲珍(西藏自治区人民医院),丁欣(中国医学科学院北京协和医院),杜微(中国医学科学院北京协和医院),段军(中日友好医院),付建垒(西藏自治区人民医院),高国一(上海交通大学医学院附属仁济医院),桂喜盈(西藏自治区人民医院),郭娟(西藏林芝市人民医院),何伟(北京同仁医院),胡成功(四川大学华西医院),黄齐兵(山东大学齐鲁医院),吉律(日喀则市人民医院),李莉(中南大学湘雅医院),李茜玮(西藏自治区人民医院),李易(四川大学华西医院),蔺国英(西藏自治区人民医院),刘大为(中国医学科学院北京协和医院),刘海涛(哈尔滨医科大学附属第三医院),刘丽霞(河北医科大学第四医院),吕立文(广西壮族自治区人民医院),潘文君(西藏自治区人民医院),普布卓玛(西藏自治区人民医院),邱成(那曲市人民医院),任宏(上海儿童医学中心),尚秀玲(福建省立医院),孙建华(中国医学科学院北京协和医院),王小亭(中国医学科学院北京协和医院),武钧(上海交通大学医学院附属瑞金医院),许强宏(浙江医院),尹万红(四川大学华西医院),张恒(中国医科大学附属第一医院),张宏民(中国医学科学院北京协和医院),张丽娜(中南大学湘雅医院),张青(中国医学科学院北京协和医院),赵华(中国医学科学院北京协和医院),朱然(中国医科大学附属第一医院),朱世宏(中国人民解放军总医院第七医学中心),朱炜华(昆明医学院附属第二医院),朱英(杭州市第一人民医院)
  • 图  1  高原神经重症患者特色化管理策略图

    GCS: 格拉斯哥昏迷评分;CO:心输出量;MAP:平均动脉压;ICP:颅内压力;ONSD:神经鞘直径;BIS:脑电双频指数;qEEG: 量化脑电图;PI:搏动指数;PaCO2:动脉血二氧化碳分压;MDT:多学科协作

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出版历程
  • 收稿日期:  2021-08-09
  • 录用日期:  2021-11-24
  • 网络出版日期:  2022-01-07
  • 刊出日期:  2022-01-30

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