JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2015, Vol. 53 ›› Issue (4): 92-94.doi: 10.6040/j.issn.1671-7554.0.2014.589

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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. 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

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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

CLC Number: 

  • R651.1
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