摘要：

2019年国际专家团基于Delphi方法的反复调查和现场讨论，完成了“A managementalgorithm for patients with intracranial pressure monitoring：the Seattle International Severe Traumatic BrainInjury Consensus Conference（SIBICC）”（简称“共识”），旨在引导对仅行颅内压监测的颅脑创伤患者实施合理的分级管理。本文对“共识”所涉及的“三阶梯颅内压管理流程”、各级治疗措施的应用原则，以及镇静治疗和颅内压监测停撤的判断流程进行解读，以期将国际颅脑创伤神经重症研究进展介绍给读者。

关键词: 脑损伤, 创伤性, 颅内压, 指南, 综述

Abstract:

In 2019, after Delphi consultation and on-site discussion, the international expert team formed an international consensus on the management algorithm of traumatic brain injury (TBI) patients with intracranial pressure (ICP) monitoring. The consensus aims to guide the implementation of reasonable tiered clinical treatment for patients with TBI who only underwent ICP monitoring. In this paper, the consensus involved in the tiered management process of intracranial hypertension monitoring and the judgment process of withdrawing ICP monitoring and sedation holiday were interpreted, in order to introduce the progress in the field of TBI to the readers.

Key words: Brain injuries, traumatic, Intracranial pressure, Guidelines, Review