持续有创动态颅内压监测在颅脑损伤术后的应用  

The Application of Dynamic Continuous Invasive Intracranial Pressure Monitoring after Craniocerebral Injury Surgery

作　　者：李炳森[1] 关健雄[1] 

机构地区：[1]广东省开平市中心医院,广东开平529300

出　　处：《中国医学创新》2014年第10期143-144,共2页Medical Innovation of China

摘　　要：目的:观察颅脑损伤开颅术后患者颅内压(ICP)的变化,探究持续有创动态颅内压监测在颅脑损伤术后的应用价值。方法:选择颅脑损伤并进行大骨瓣开颅手术的患者80例,应用硬脑膜下压力测定法,进行持续有创动态颅内压监测,根据观察结果,判断颅内伤情、脑水肿情况和指导临床治疗,并观察其疗效。结果:80例患者在颅内压监测下,7例再次手术;ICP越高,GCS越低;ICP越高,预后越差,6个月后有6例患者死亡。结论:对颅脑损伤患者进行术后持续有创动态颅内压监测,有助于监测继发性脑水肿、及早发现颅内再出血,指导及时调整治疗措施,有重要临床应用价值。Objective：To observe the change of intracranial pressure（ICP）of patients after craniocerebral injury surgery,and to investigate the application value of dynamic continuous invasive intracranial pressure monitoring after craniocerebral injury surgery. Method：80 patients with craniocerebral injury who received large bone flap craniotomy were selected to make dynamic continuous invasive intracranial pressure monitoring. On the basis of observation,intracranial injury and brain edema were judged to guide the clinical treatment. Its treatment effect was observed. Result：7 cases of 80 patients received the surgery again under intracranial pressure monitoring. If the ICP was higher,the GCS was lower. If ICP was higher,the prognosis was worse. There were 6 patients died after 6 months. Conclusion：Dynamic continuous invasive intracranial pressure monitoring for craniocerebral injury patients after operation helps monitor secondary brain edema and early find intracranial rebleeding. And it has the important clinical value for guiding and timely adjusting the treatment measures.

关 键 词：颅内压 监测 颅脑损伤 术后 

分 类 号：R651.15[医药卫生—外科学]