持续颅内压监测在高血压性脑出血中的应用  

Application of continuous intracranial pressure monitoring in hypertensive cerebral hemorrhage

作　　者：曹合利[1] 田恒力[1] 陈世文[1] 高文伟[1] 王敢[1] 郭衍[1] 陈炯[1] 魏伟[1] 陈浩[1] 徐涛[1] 

机构地区：[1]上海交通大学附属第六人民医院神经外科,200233

出　　处：《中国微侵袭神经外科杂志》2012年第8期341-343,共3页Chinese Journal of Minimally Invasive Neurosurgery

基　　金：上海市科委重点项目(编号:10JC1412500)

摘　　要：目的探讨持续颅内压监测在高血压性脑出血治疗中的临床意义。方法回顾性分析120例高血压性脑出血手术病人的临床资料，均采用脑室内颅内压监测，予以阶梯式降颅内压治疗。结果颅内压监测3-14d，平均5．2d。无探头置入引起的颅内大出血。术后发生感染3例，对症治疗后好转。伤后6个月，根据GOS评分：良好（包括良好和轻残）65例，占54．17％；恢复不良（包括重残和植物状态）25例，占20．83％；死亡30例，占25．00％。结论在高血压性脑出血病人手术后，行持续颅内压监测可指导降低颅内压措施的实施．早期发现病情变化，减少并发症，改善预后。Objective To explore the clinical significance of continuous intracranial pressure （ICP） monitoring in the treatment of hypertensive cerebral hemorrhage. Methods Clinical data of 120 patients with hypertensive cerebral hemorrhage were analyzed retrospectively. All the patients received intraventricular ICP monitoring and ICP was decreased in a stepwise approach. Results The patients were continuously monitored of ICP for 3 to 14 d with a mean period of 5.2 d. There was no intracranial hemorrhage caused by probe. The infection occurred in 3 patients who recovered after symptomatic treatment. The patients were evaluated by GOS 6 months after hemorrhage, 65 patients （54.17%） achieved good recovery with mild disability, 25 （20.83 %） suffered severe disability and vegetative state, and 30 （25.00%） died. Conclusions Continuous ICP monitoring in hypertensive cerebral hemorrhage can effectively develop the measures for decreasing ICP, early fred the change of patient＇s condition, reduce complications and improve prognosis.

关 键 词：颅内出血 高血压性 颅内压监测 

分 类 号：R743.34[医药卫生—神经病学与精神病学]