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甘露醇治疗颅内压增高中国专家共识

2019-06-18 中华医学会神经外科学分会 中华医学杂志.2019.99(23):1763-1766.

甘露醇是治疗颅内压(ICP)增高最常使用的一线药物,临床应用广泛。但由于对ICP增高的病理生理机制、甘露醇的药理作用机制的认识不同,临床上甘露醇不规范使用的现象普遍存在,比如无指征的使用、不注意使用的剂量与间隔时间、忽略使用过程中的监测等,导致甘露醇在临床上不合理应用带来相关并发症。为此,中华医学会神经外科分会小儿神经外科学组和神经重症管理协作组联合国内神经外科、神经重症及重症医学等领域的专家共同

中文标题:

甘露醇治疗颅内压增高中国专家共识

发布日期:

2019-06-18

简要介绍:

甘露醇是治疗颅内压(ICP)增高最常使用的一线药物,临床应用广泛。但由于对ICP增高的病理生理机制、甘露醇的药理作用机制的认识不同,临床上甘露醇不规范使用的现象普遍存在,比如无指征的使用、不注意使用的剂量与间隔时间、忽略使用过程中的监测等,导致甘露醇在临床上不合理应用带来相关并发症。为此,中华医学会神经外科分会小儿神经外科学组和神经重症管理协作组联合国内神经外科、神经重症及重症医学等领域的专家共同讨论撰写了《甘露醇治疗颅内压增高中国专家共识》(简称共识),希望通过共识规范使用甘露醇,避免滥用、错用,提高甘露醇治疗的合理性、安全性和有效性。 

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    2022-01-23 胡国宏
  2. [GetPortalCommentsPageByObjectIdResponse(id=1187391, encodeId=9665118e3916a, content=<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/1103841572/949453D13700D5D5E2170BDB0CBBEB81/100, createdBy=66e32451407, createdName=胡国宏, createdTime=Sun Jan 23 09:38:57 CST 2022, time=2022-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=975498, encodeId=c4629e54983d, content=受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210621/0695b1ced6a9499aaef92aaa45ec3410/774ddd3b782f4351ae3e89b6f20f8dca.jpg, createdBy=df025530372, createdName=ms3000001675622930, createdTime=Mon Jun 21 16:06:30 CST 2021, time=2021-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=975497, encodeId=b7eb9e5497d0, content=受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210621/0695b1ced6a9499aaef92aaa45ec3410/774ddd3b782f4351ae3e89b6f20f8dca.jpg, createdBy=df025530372, createdName=ms3000001675622930, createdTime=Mon Jun 21 16:00:35 CST 2021, time=2021-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=974971, encodeId=8e4e9e497178, content=好 为什么还要积分, beContent=null, objectType=guider, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210619/2ab7b8d074e6469db7ba1893eb9498d3/7f42e0215a104569a91ac2a247c1e8be.jpg, createdBy=bf5c5529235, createdName=ms6000001381499442, createdTime=Sat Jun 19 20:03:35 CST 2021, time=2021-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370750, encodeId=41013e0750e9, content=有用,收藏了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=156, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Qcj5xDGnJV65Un4lcVlusibuX88f17amqeZ9LnSuGRGvHxcSs1fMUKxal3Xuvgt5Rt5AHSeqRCINtCFGZ5qCyEA/132, createdBy=d8f42576630, createdName=yangtongtong, createdTime=Sun Aug 04 11:49:47 CST 2019, time=2019-08-04, status=1, ipAttribution=)]
    2021-06-21 ms3000001675622930

    受益匪浅

    0

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    2021-06-21 ms3000001675622930

    受益匪浅

    0

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    2021-06-19 ms6000001381499442

    好 为什么还要积分

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1187391, encodeId=9665118e3916a, content=<a href='/topic/show?id=23e3454e353' target=_blank style='color:#2F92EE;'>#学习#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=45473, encryptionId=23e3454e353, topicName=学习)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdqq.qlogo.cn/qqapp/1103841572/949453D13700D5D5E2170BDB0CBBEB81/100, createdBy=66e32451407, createdName=胡国宏, createdTime=Sun Jan 23 09:38:57 CST 2022, time=2022-01-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=975498, encodeId=c4629e54983d, content=受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=125, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210621/0695b1ced6a9499aaef92aaa45ec3410/774ddd3b782f4351ae3e89b6f20f8dca.jpg, createdBy=df025530372, createdName=ms3000001675622930, createdTime=Mon Jun 21 16:06:30 CST 2021, time=2021-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=975497, encodeId=b7eb9e5497d0, content=受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210621/0695b1ced6a9499aaef92aaa45ec3410/774ddd3b782f4351ae3e89b6f20f8dca.jpg, createdBy=df025530372, createdName=ms3000001675622930, createdTime=Mon Jun 21 16:00:35 CST 2021, time=2021-06-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=974971, encodeId=8e4e9e497178, content=好 为什么还要积分, beContent=null, objectType=guider, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210619/2ab7b8d074e6469db7ba1893eb9498d3/7f42e0215a104569a91ac2a247c1e8be.jpg, createdBy=bf5c5529235, createdName=ms6000001381499442, createdTime=Sat Jun 19 20:03:35 CST 2021, time=2021-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=370750, encodeId=41013e0750e9, content=有用,收藏了!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=156, replyNumber=1, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Qcj5xDGnJV65Un4lcVlusibuX88f17amqeZ9LnSuGRGvHxcSs1fMUKxal3Xuvgt5Rt5AHSeqRCINtCFGZ5qCyEA/132, createdBy=d8f42576630, createdName=yangtongtong, createdTime=Sun Aug 04 11:49:47 CST 2019, time=2019-08-04, status=1, ipAttribution=)]
    2019-08-04 yangtongtong

    有用,收藏了!

    1

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