重型颅脑损伤脑灌注压及颈内静脉氧饱和度与预后的关系  

Relationship between saturation Of jugular vein oxygen, cere-bral perfusion pressure, and prognosis of severe head injuries

作　　者：蔡涛[1] 徐子明[1] 宋敏鹰[1] 宋志惠[1] 陈桂增[1] 袁集熙[1] 

机构地区：[1]东莞市人民医院神经外科,广东东莞523000

出　　处：《国际医药卫生导报》2003年第24期4-6,共3页International Medicine and Health Guidance News

摘　　要：目的 探讨重型颅脑损伤病人(GCS≤8分)脑灌注压(CPP)与颈内静脉氧饱和度(Sjvo2)与预后的关系。方法 对49例重型颅脑损伤患者行颈内静脉取血测得(Sjvo2),同时行脑室穿刺进行颅内监护。结果 ①Sjvo2、CPP与预后显著相关,Sjvo2≥75%或≤45%预后不良;CPP <60mmHg以下,预后良好率明显减低,死亡率明显增高, Sjvo2、CPP相结合可以互为补充。结论 Sjvo2与CPP监测相结合,能较可靠反映脑供血及脑氧代谢状况,对治疗具有重要指导意义。Objective To determine the effects of saturation of jugular vein oxygen(Sjvo2) andcerebral perfusion pressure(CPP)on prognosis in patients with severe head injuries.Methods Sjvo2and CPP was tested in forty-nine patients with severe head injury who were divided into group on thebasis of their own CPP and Sjvo2,respectively.Results Both Sjvo2 and CPP were significantlycorrelated with prognosis.Sjvo2≥75% or≤45%,and CPP≤60mmHg were correlated with poor prognosis.Conclusion Monitoring of Sjvo2 and CPP is reliable to predict prognosis of severe head injuries,which is helpful to treatment.

关 键 词：重型颅脑损伤 颈静脉氧饱和度 脑灌注压 顶后 

分 类 号：R651.15[医药卫生—外科学] R619[医药卫生—临床医学]