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神经外科病人术后ICP增高与高碳酸血症的临床相关性研究 被引量:1

The relative study of clinical between Neurosurgery postoperative ICP increased and hypercapnia in NICU patient
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摘要 目的:探讨NICU术后持续ICP监测病人发生ICP升高的临床意义及其与术后高碳酸血症的相关性。方法:对428例行神经外科开颅手术并安装颅内皮层下颅内压探头的NICU患者,术后给予持续颅内压监测,进行血气分析,判断有无CO2潴留、高碳酸血症。结果:153例患者术后有ICP升高,其中32例患者血气分析结果提示CO2蓄积,占20.91%;改善患者通气情况,及时纠正高碳酸血症可有效降低ICP。结论:术后ICP水平与机体CO2潴留、高碳酸血症的严重程度呈正相关。 Objective: To explore the correlation between Neurosurgery postoperative ICY increased and hypercapnia and study its clinical significance in NICU patient. Metheds:428 eases of patients who have been given neuresurgery craniotomy and installed ICP Probe in NICU. They are given postoperatively continuous ICP monitoring and offered to blood gas analysis. Determine whether the CO2 retention, and hypercapnia. Results: It suggested 153 cases have ICP increased, including 32 cases with CO2 accumulation, accounting for 20.91%; Improving ventilation timely and correcting hypercapnia could lower ICP effectively. Conclusions:the relation between blood pressure level and severity of CO2 retention and hypercapnia appeared positive correlation.
出处 《激光杂志》 CAS CSCD 北大核心 2012年第5期77-78,共2页 Laser Journal
关键词 神经外科手术 颅内压 高碳酸血症 血气分析 neurosurgery ICP hypercaonia, blood gas analysis
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