监测中心静脉压在神经外科危重患者治疗中的应用效果  

Application effect of monitoring central venous pressure in the treatment of critically ill patients in neurosurgery department

作　　者：吕新文[1] 张鹏[1] 宋建荣[1] 周小龙[1] 朱峰[1] 蔡珂[1] 

机构地区：[1]宝鸡市中心医院,陕西宝鸡721008

出　　处：《临床医学研究与实践》2018年第7期91-92,共2页Clinical Research and Practice

摘　　要：目的探讨监测中心静脉压在神经外科危重患者最大限度脱水降颅压中的意义。方法回顾性分析2014年11月至2016年11月在我院神经外科治疗的64例危重患者的临床资料,观察并分析其治疗方法及效果。结果 64例患者行中心静脉压监测后,急性期死亡8例(12.5%)。其余56例随访6~15个月,平均7.5个月,按GOS评分:恢复良好13例(23.2%),中度残疾17例(30.4%),严重残疾20例(35.7%),植物状态4例(7.1%),死亡2例(3.6%)。结论在神经外科危重患者早期非手术治疗中,行中心静脉压监测,可有效解决最大限度脱水降颅压与保证有效血容量之间的矛盾,提高疗效并减少并发症。Objective To explore the significance of monitoring central venous pressure on maximum dehydration and intracranial pressure reduction in critically ill patients in neurosurgery department. Methods The clinical data of 64 critically ill patients who were treated in neurosurgery department in our hospital from November 2014 to November 2016 were retrospectively analyzed, and the treatment methods and effects were observed. Results Among the 64 patients who underwent central venous pressure monitoring, 8 cases(12.5%) died in acute phase. The remaining 56 patients were followed up for 6-15 months, with an average of 7.5 months, the results of GOS score showed good recovery in 13 cases(23.2%), moderate disability in 17 cases(30.4%), severe disability in 20 cases(35.7%), 4 cases of vegetative state(7.1%), 2 cases(3.6%) of death. Conclusion In the early non-surgical treatment of critically ill patients in neurosurgery department, central venous pressure monitoring can effectively solve the contradiction between maximum dehydration and intracranial pressure reduction and effective blood volume, which can improve curative effect and reduce complications.

关 键 词：中心静脉压 脱水 降颅压 

分 类 号：R651.1[医药卫生—外科学]