Abstract：
This two-part article deals with the intensive medical care of traumatic brain injury. Part 1 addresses the primary treatment strategy, haemodynamic management and multimodal monitoring, Part 2 secondary treatment strategies, long-term outcome, neuroprognostics and chronification. Traumatic brain injury is a complex clinical entity with a high mortality rate. The primary aim is to maintain homeostasis based on physiological targeted values. In addition, further therapy must be geared towards intracranial pressure. In addition to this, there are other monitoring options that appear sensible from a pathophysiological point of view with appropriate therapy adjustment. However, there is still a lack of data on their effectiveness. A further aspect is the inflammation of the cerebrum with the \"cross-talk\" of the organs, which has a significant influence on further intensive medical care.
摘要：
这篇由两部分组成的文章涉及创伤性脑损伤的重症医疗护理。第一部分介绍了主要治疗策略，血流动力学管理和多模式监测，第二部分次要治疗策略，长期结果，神经预后和时间化。创伤性脑损伤是一个复杂的临床实体，死亡率很高。主要目的是维持基于生理目标值的体内平衡。此外,进一步的治疗必须针对颅内压。除此之外,从病理生理学的角度来看,在适当调整治疗的情况下,还有其他监测方案似乎是合理的.然而,仍然缺乏有关其有效性的数据。另一个方面是大脑的炎症与器官的“串扰”，这对进一步的重症监护有重大影响。
