颅内压监测在142例颅脑损伤危重患者中的应用

山东大学学报(医学版) ›› 2013, Vol. 51 ›› Issue (2): 75-78.

颅内压监测在142例颅脑损伤危重患者中的应用

李志强1，戴新连1，沈冬青1，赵军1，刘宏伟1,2

上海交通大学附属第六人民医院南院，上海市奉贤区中心医院 1.神经外科，
安徽理工大学上海神经病学研究所； 2.呼吸科，上海 201400

收稿日期:2012-08-05 出版日期:2013-02-10 发布日期:2013-02-10
通讯作者: 戴新连(1954- )，男，副主任医师，主要从事颅脑损伤研究。 E-mail: dxl_999@126.com
作者简介:李志强(1962- )，男，主任医师，教授，硕士生导师,主要从事颅脑损伤和脑垂体瘤疾病研究。 E-mail: lzq_999@163.com

Application of intracranial pressure monitoring in patients with severe traumatic brain injuries

LI Zhi-qiang1, DAI Xin-lian1， SHEN Dong-qing1, ZHAO Jun1， LIU Hong-wei1，2

1. Department of Neurosurgery, Shanghai Neurological Research Institute of Anhui University of Science & Technology;
2. Department of Respiratory Diseases, The South Branch of the Sixth People’s Hospital, Shanghai Jiaotong University,
Central Hospital of Fengxian District, Shanghai 201400, China

Received:2012-08-05 Online:2013-02-10 Published:2013-02-10

摘要/Abstract

摘要：

目的介绍持续有创颅内压监测在颅脑损伤危重患者诊治中的应用。方法回顾分析142例颅脑损伤患者(监测组)的有创颅内压监测资料和146例未行颅内压监测患者(非监测组)资料，比较两组并发症和格拉斯哥结果分级评分(GOS)。结果监测组颅内压轻度增高43例，中度增高69例，重度增高30例，针对不同情况采取相应治疗措施。监测组电解质紊乱和肾功能损害等并发症较非监测组少，GOS分级评分结果优于非监测组。结论持续有创颅内压监测可及时准确反映病情变化，有利于及时干预、指导临床护理与治疗,提高治疗效果。

关键词: 颅脑损伤；手术；颅内压；预后

Abstract:

Objective To explore the application value of intracranial pressure(ICP)monitoring in patients with sever traumatic brain injuries (TBI). Methods The relative data of 142 ICP monitoring patients were compared to those of 146 non-ICP monitoring patients, especially on important complications and Glasgow outcome scale (GOS). Results ICP was slightly，moderately and severely elevated in 43，69 and 30 cases in the monitoring group respectively. They received corresponding proper treatment. Complications such as electrolyte imbalance and renal damage in non-monitoring group were more than in monitoring group. GOS score was significantly higher in monitoring group than in non-monitoring group. Conclusion The continuous ICP monitoring can demonstrate intracranial pressure change and help to guide the correct clinical nursing and treating, and so as to improve the clinical outcome.

Key words: Brain injury; Operation; Intracranial pressure; Prognosis

中图分类号:

R651.15

李志强1，戴新连1，沈冬青1，赵军1，刘宏伟1,2. 颅内压监测在142例颅脑损伤危重患者中的应用[J]. 山东大学学报(医学版), 2013, 51(2): 75-78.

LI Zhi-qiang1, DAI Xin-lian1， SHEN Dong-qing1, ZHAO Jun1， LIU Hong-wei1，2. Application of intracranial pressure monitoring in patients with severe traumatic brain injuries[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(2): 75-78.

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