摘要：

神经外科重症管理在神经外科的发展中发挥越来越重要的作用，不仅为神经外科手术患者提供围手术期生命支持，同时还负责救治中重型脑血管病、颅脑创伤等疾病患者。经过近20年的发展，国内大型三甲医院纷纷成立神经外科重症管理亚专业，但在基层医院，神经外科重症管理理念有待进一步推广。本文通过回顾神经外科重症管理亚专业的发展历程，提出增强基层医院诊疗能力、规范专业核心能力标准、落实高质量多学科诊疗模式、完善基本硬件配置，以最终实现神经外科重症管理的规范化。

关键词: 神经外科（学）, 危重病人医疗, 基层医院（非MeSH词）, 综述

Abstract:

Neurosurgical critical care is playing an increasingly pivotal role in the advancement of neurosurgery. It not only provides perioperative life support for neurosurgical patients but also addresses the treatment of severe cerebrovascular diseases and traumatic brain injury. Over the past two decades, major tertiary hospitals in China have established subspecialties dedicated to neurosurgical critical care. However, at the county level and other grassroots hospitals, the adoption of neurosurgical critical care concepts require further promotion. This paper reviews the development history of the neurosurgical critical care specialty and proposes measures to enhance the diagnostic and treatment capabilities of grassroots hospitals. These measures include standardizing core professional competencies, implementing high -quality multi-disciplinary team, and improving essential hardware configurations, with the goal of achieving standardized diagnosis and treatment in neurosurgical critical care.

Key words: Neurosurgery, Critical care, Primary hospitals (not in MeSH), Review