侧裂池引流及颅内压监测治疗重型颅脑损伤的临床研究  

Clinical Research of Lateral Cleft Cistern Drainage and lntracranial Pressure Monitoring to Treatment Severe Head Injury

作　　者：李锐锋 古金震 郭金利 

机构地区：[1]河北省迁安市中医医院神经外科,迁安064400

出　　处：《中国医药导刊》2011年第2期228-229,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:通过比较侧裂池引流及侧脑室引流治疗重型颅脑损伤(sTBI)的临床观察,旨在探索一种新的治疗sTBI的方法。方法:采用随机的方法对GCS评分3～8分的颅脑损伤病人进行分组,分为侧裂池引流及颅内压(ICP)监测组(A组)和侧脑室引流及颅内压监测组(B组),统计两组病人的死亡率、脑积水及脑梗塞的发生率、手术率、穿刺针道及手术切口的感染率。结果:6个月后病人GOS评分有统计学意义(P<0.05)。结论:侧裂池引流对闭合性sTBI sTBI病人的预后有重要作用,侧裂池引流及颅内压监测是闭合性sTBI病人治疗的有效方法。Objective： To explore a new method to treat severe traumatic brain injury, comparing between lateral cleft cistern drainage and lateral ventricle drainage. Methods：Craniocerebral injury patients scoring GCS 3-8 were divided into lateral cleft cistern drainage and lateral ventricle drainage intracranial pressure monitoring groups, deploying random method. To statistics the mortality rate, incidence rate of hydrocephalus and cerbral infarction operability, infection rate of pin hole and operative incision, GOS after 6 month between two groups.Results：The mortality rate, incidence rate of hydrocephalus and cerbral infarction operability, infection rate of pin hole and operative incision,GOS after 6 month between two groups were statistic significant differenct（P〈0.05）.Conclnsinns：There is active effect to treat severe traumatic brain injury with lateral cleft cistern drainage and intracranial pressure monitoring,it＇s a effectual method.

关 键 词：侧裂池引流及颅内压监测 重型闭合性颅脑损伤 

分 类 号：R651.15[医药卫生—外科学]