颅内压监护在急性颅脑损伤术后的临床应用  

Clinical Applications of Intracranial Pressure Monitoring in Post-operative Patients with Acute Brain Injury

作　　者：朱盛[1] 王东华[1] 黄文强[1] 周亮[1] 

机构地区：[1]四川省大竹县人民医院神经外科,635100

出　　处：《继续医学教育》2012年第10期54-56,共3页Continuing Medical Education

摘　　要：目的:探讨急性颅脑损伤患者术后颅内压(intracranial pressure,ICP)监测的临床应用价值。方法:应用颅内压监测技术对39例颅脑损伤术后患者的ICP进行动态监护,根据ICP情况随时调整治疗方案,评价ICP监测在术后诊治中的作用及评估患者预后。结果:39例颅脑损伤术后患者中,ICP重度增高7例(死亡5例),中度增高21例(死亡3例),轻度增高7例,正常4例;其中2例ICP持续增高,经CT证实为迟发性脑内血肿;甘露醇平均使用时间为7天,术后发生电解质紊乱8例。结论:ICP动态监测有助于颅脑损伤患者术后病情观察,及时发现迟发性颅内血肿,并且能直接指导术后脱水剂的应用,为疾病的早期诊断、及时治疗及评价预后提供可靠的依据。Objective: To investigate the value of intracranial pressure monitoring in postoperative patients with acute brain injury.Methods: A total of 39 patients with acute brain injury treated by craniotomy were performed by dynamic intracranial pressure monitoring,the treatment methods were adjusted according to the changes of ICP.Results: There were 7 patients(5 dead) with the highest raised ICP,21 patients(3 dead) with the moderate raised ICP,7 patients with the mild raised ICP and 4 patients with nomal ICP.Among these patients,2 patients with continuous increased ICP were diagnosed as delayed intracranial hemotomas by CT.The average time of use of mannitol was 7 days and there were 8 patients with electrolyte disturbance.Conclusion: The continuous ICP monitoring in postoperative patients with acute brain injury is valuable in timely detection of delayed intracranial hematoma and direct guidance of the dehydrating agent application,which provide references for early diagnosis,timely treatment and prognostic evaluation of acute brain injury.

关 键 词：颅内压 监护 颅脑损伤 

分 类 号：R65[医药卫生—外科学]