颅内压监测对颅内血肿术后治疗的指导价值

doi:10.6040/j.issn.1671-7554.0.2014.589

山东大学学报（医学版） ›› 2015, Vol. 53 ›› Issue (4): 92-94.doi: 10.6040/j.issn.1671-7554.0.2014.589

颅内压监测对颅内血肿术后治疗的指导价值

吴彬¹, 张宁¹, 李志强¹, 王旭阳²

1. 南方医科大学附属奉贤医院神经外科上海市奉贤区中心医院神经外科, 上海 201499;
2. 上海交通大学附属第六人民医院神经外科, 上海 200233

收稿日期:2014-09-09 修回日期:2015-03-09 出版日期:2015-04-10 发布日期:2015-04-10
通讯作者: 李志强.E-mail:lzq_999@163.com E-mail:lzq_999@163.com
基金资助:
上海市卫生局青年基金(20124Y140)

Value of postoperative intracranial pressure monitoring as a guide for the treatment after intracranial hematoma surgery

WU Bin¹, ZHANG Ning¹, LI Zhiqiang¹, WANG Xuyang²

1. Department of Neurosurgery, Affiliated Fengxian Hospital of Southern Medical University, Central Hospital of Fengxian District, Shanghai 201499, China;
2. Department of Neurosurgery, Sixth People's Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200233, China

Received:2014-09-09 Revised:2015-03-09 Online:2015-04-10 Published:2015-04-10

摘要/Abstract

摘要： 目的探讨颅内压监测对颅内血肿术后治疗的指导意义.方法选取415例外伤性颅内血肿患者,在血肿清除术后持续动态监测颅内压和根据监测指导临床治疗,观察疗效.结果 415例患者在颅内压监测结果的指导下,294例正常或轻度增高者减少脱水剂用量,121例中重度增高者及时加大脱水剂用量,其中有42例术后实时监测颅内压发现患者颅压增高CT证实迟发血肿进而实施二次手术,取得良好疗效.结论颅内血肿清除术后持续动态颅内压监测,对及时发现术后血肿形成、指导脱水治疗有较高的临床应用价值.

关键词: 颅脑损伤, 髋关节置换术, 颅内压监测, 术后, 治疗, 颅内血肿, 住院费用, 临床护理路径

Abstract: Objective To investigate the significance of monitoring intracranial pressure after surgical treatment of intracranial hematoma. Methods Clinical data of 415 patients with craniocerebral hematoma were retrospectively reviewed. These patients' intracranial pressure was dynamically monitored after the hematoma was removed. Results With the guidance of monitoring, 294 patients with normal or slightly elevated intracranial pressure were given reduced dosage of dehydrant, while 121 patients who had moderate to severe intracranial pressure were given increased dosage of dehydrant, 42 of whom were found to have delayed hematoma and then received a second operation. Conclusion Dynamic monitoring of intracranial pressure after removal of intracranial hematoma can help to timely detect postoperative hematoma and guide dehydration.

Key words: Postoperative, Monitoring of intracranial pressure, Brain injury, Treatment, Intracranial hematoma

中图分类号:

R651.1

吴彬, 张宁, 李志强, 王旭阳. 颅内压监测对颅内血肿术后治疗的指导价值[J]. 山东大学学报（医学版）, 2015, 53(4): 92-94.

WU Bin, ZHANG Ning, LI Zhiqiang, WANG Xuyang. Value of postoperative intracranial pressure monitoring as a guide for the treatment after intracranial hematoma surgery[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(4): 92-94.

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颅内压监测对颅内血肿术后治疗的指导价值

Value of postoperative intracranial pressure monitoring as a guide for the treatment after intracranial hematoma surgery

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