颅内压监测技术在创伤性颅脑损伤治疗中的应用  

Application of intracranial pressure monitoring technique in the treatment of traumatic brain injury

作　　者：张馨月[1] 韩帅 张舒石[3] 李文臣[2] 张舒岩[2] Zhang Xinyue;Han Shuai;Zhang Shushi;Li Wenchen;Zhang Shuyan(Department of Clinical Research,The First Hospital of Jilin University,Changchun 130021,China;Department of Neurotrauma,The First Hospital of Jilin University,Changchun 130021,China;Gamma Knife Treatment Center of Changchun People's Hospital,Changchun 130051,China)

机构地区：[1]吉林大学第一医院临床研究部,长春130021 [2]吉林大学第一医院神经创伤外科,长春130021 [3]长春市人民医院伽马刀治疗中心,长春130021

出　　处：《中华神经创伤外科电子杂志》2023年第4期246-252,共7页Chinese Journal Of Neurotraumatic Surgery：Electronic Edition

摘　　要：颅内压(ICP)是颅腔的内容物对颅腔壁产生的压力。当创伤性颅脑损伤(TBI)患者的ICP持续增高时,可能会引起一系列神经损害,甚至形成脑疝致呼吸循环衰竭而死亡。而以ICP监测为主的多模态监测技术的出现,使临床医师在救治TBI患者时能够实时动态地监测ICP及其相关参数变化。目前有创监测技术以脑室型ICP监测为主,结果最为准确;而多种新型无创监测技术也受到广泛关注和研究。本文主要针对多模态ICP监测技术在TBI治疗中的应用展开综述,并结合文献比较各种监测技术的优劣,为临床选择相应监测方法提供依据。Intracranial pressure(ICP)is the pressure exerted by the contents of the skull cavity on the wall of the skull cavity.When ICP levels continue to increase in patients with traumatic brain injury(TBI),it may cause a series of nerve damage,and even lead to brain herniation leading to respiratory and circulatory failure and death.The emergence of multi-modal monitoring technology based on ICP monitoring enables clinicians to dynamically and real-time monitor the changes of ICP and related parameters in the treatment of TBI patients.At present,invasive monitoring techniques mainly focus on ventricular type ICP monitoring,with the most accurate results;while many new non-invasive monitoring techniques have also been widely concerned and studied.This article mainly reviews the application of multimodal ICP monitoring technology in TBI treatment,and compares the advantages and disadvantages of various monitoring technologies based on literature,providing a basis for clinical selection of corresponding monitoring methods.

关 键 词：创伤性颅脑损伤 颅内压 多模态监测技术 经颅多普勒超声 

分 类 号：R651.15[医药卫生—外科学]