摘要
目的:总结186例重型颅脑损伤术后颅内压(IntracranialPressure,ICP)监护的作用。方法:对我院2000年5月～2004年12月收治的186例重型颅脑损伤病人术后ICP监护应用情况及疗效进行总结。结果:V级(恢复良好)62例,IV级(中残)38例,III级(重残)25例,II级(植物生存)15例,I级(死亡)46例。死亡率24.7%。发现术后IPC水平与患者临床表现与预后密切相关。结论:ICP监护有助于发现术后迟发性血肿及指导治疗,有助于判断预后。
Objective To investigate the role of ICP in patients with severe traumatic brain injuries （TBI）（GCS〈8）. Method 186 patients who were given for ICP monitoring were retrospectively analyzed. Results good recovery was 62 cases,moderate disability 38 cases,severe disability 25 cases,vegetative status 15 cases and mortality 46 cases.The patient＇s outcome was significantly correlated with GCS score and high ICP. Conclusion High ICP is still the main causes of mortality and morbidity for the patients with severe traumatic brain injuries, preventing hypoxia, controlling high ICP may be the useful means for improving the outcome of severe head injured patients.
出处
《吉林医学》
CAS
2005年第12期1280-1281,共2页
Jilin Medical Journal
关键词
颅内压监护
重型颅脑损伤
Brain injuries
Intracranial pressure
Prognosis
