临床神经外科杂志2012，Vol.9Issue(5)：288-289,2.DOI:10.3969/j.issn.1672-7770.2012.05.012
颅内压监测下刺激性医疗行为对颅内压的影响
Effect of stimulative medical behavior on intracranial pressure guided by ICP monitoring
刘保华 1熊方令 1高行德 1张建永 1蔡旺1
作者信息
- 1. 223008 江苏宿迁市人民医院神经外科
- 折叠
摘要
Abstract
Objective To elucidate the effect of stimulative medical behavior on intracranial pressure (ICP) guided by ICP monitoring. Methods The effects of different stimulative medical behavior of 31 patients on ICP guided by ICP monitoring were analyzed prospectively. Results In this group of patients, peripheral venipuncture and intramuscular injection induced increasing ICP by(3. 57 ±1.08)mmHg and (3. 18 ±1.08)mmHg respectively, and the tracheal intubation,tracheo-tomy, clapping back or sputum suction induced increasing ICP by (8. 33 ± 1. 37) mmHg (9. 38 ±1.92) mmHg, the (8. 54 ±2.03) mmHg and (8. 67 ± 1. 41) mmHg respectively. Conclusions Mild stimulation can increase ICP by 3 ~5mmHg and severe stimulation can increase ICP by 6 ~ 10mmHg. Avoiding over-stimulation and mildly clinical interventions could help reduce ICP fluctuations.关键词
医疗行为/刺激/颅内压监测Key words
medical behavior/ stimuli/ intracranial pressure monitoring分类
医药卫生引用本文复制引用
刘保华,熊方令,高行德,张建永,蔡旺..颅内压监测下刺激性医疗行为对颅内压的影响[J].临床神经外科杂志,2012,9(5):288-289,2.
