摘要
目的介绍持续有创颅内压监测在颅脑损伤危重患者诊治中的应用。方法回顾分析142例颅脑损伤患者(监测组)的有创颅内压监测资料和146例未行颅内压监测患者(非监测组)资料,比较两组并发症和格拉斯哥结果分级评分(GOS)。结果监测组颅内压轻度增高43例,中度增高69例,重度增高30例,针对不同情况采取相应治疗措施。监测组电解质紊乱和肾功能损害等并发症较非监测组少,GOS分级评分结果优于非监测组。结论持续有创颅内压监测可及时准确反映病情变化,有利于及时干预、指导临床护理与治疗,提高治疗效果。
Objective To explore the application value of intracranial pressure （ICP）monitoring in patients with sever traumatic brain injuries （TBI）. Methods The relative data of 142 ICP monitoring patients were compared to those of 146 non-ICP monitoring patients, especially on important complications and Glasgow outcome scale （GOS）. Results ICP was slightly, moderately and severely elevated in 43,69 and 30 cases in the monitoring group respectively. They re- ceived corresponding proper treatment. Complications such as electrolyte imbalance and renal damage in non-monitoring group were more than in monitoring group. GOS score was significantly higher in monitoring group than in non-monito- ring group. Conclusion The continuous ICP monitoring can demonstrate intracranial pressure change and help to guide the correct clinical nursing and treating, and so as to improve the clinical outcome.
出处
《山东大学学报（医学版）》
CAS
北大核心
2013年第2期75-78,共4页
Journal of Shandong University:Health Sciences
关键词
颅脑损伤
手术
颅内压
预后
Brain injury
Operation
Intracranial pressure
Prognosis
