摘要
目的探讨在颅脑创伤患者的颅内压(ICP)持续动态监护颅脑创伤救治中的指导意义。方法分别采用脑室内及脑实质内ICP监护法,对4050例颅脑创伤患者进行ICP动态监护,观察ICP与患者生命体征和预后的关系,分析其配合脑室外引流及降颅压等治疗的指导作用。结果ICP值与患者预后呈明显负相关,脑室外引流对持续ICP增高者治疗意义明显,ICP监护可较好地指导疾病早期治疗。结论颅内压动态监测有助于对病情变化的正确判断,可为疾病的早期诊治及预后评估提供重要的参考依据。
Objective To observe the relationship between the dynamic changes of continual intracranial pressure（ICP） and clinical manifestations and prognosis. Methods 4 050 cranioeerebral trauma patients, 2 890 males and 1 160 females, aged 46.5 （4-87）, underwent ICP monitoring, 3 820 undergoing traditional cerebral ventricle drainage and 230 undergoing drainage via brain parenchyma. The correlation between ICP and the vital signs and prognosis was analyzed. Results ICP was negatively correlated with prognosis. External ventricular drainage helped to direct the early treatment measures of traumatic brain injury. Conclusion Continuous ICP monitoring is helpful to judge the pathological changes, and can provide important reference basis for early diagnosis and prognostic evaluation.
出处
《中国急救复苏与灾害医学杂志》
2008年第2期76-78,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
天津市科委重点攻关课题(YFSZSF01200)
关键词
颅内压
颅脑创伤
预后
Intracranial pressure （ICP）
Traumatic brain injury
Prognosis
