临床神经外科杂志Issue(2)：128-130,3.DOI:10.3969/j.issn.1672-7770.2014.02.015
动态颅内压监测对重型颅脑损伤标准大骨瓣减压术后治疗的意义
Clinical value of ICP monitoring in severe traumatic brain injury after standard large decompressive craniectomy
刘保华 1熊方令 1蔡旺 1张建永 1高行德 1袁璞 1张怀兵 1姜宁 1高明明1
作者信息
- 1. 223800 江苏省宿迁市人民医院神经外科
- 折叠
摘要
Abstract
Objective To investigate the significance of intracranial pressure (ICP) monitoring in severe traumatic brain injury ( sTBI ) patients after standard large trauma craniectomy .Methods 62 patients ( monitoring group ) who underwent ICP monitoring were treated according to the ICP values after standard large trauma craniectomy ,and 46 patients ( control group ) without ICP monitoring were treated according to experience .Then,the comparison of the time and dose of mannitol application , complications and prognosis in the two groups were performed .Results The time and dose of mannitol application in the monitoring group was less than the control group .And the rate of acute kidney injury and electrolyte disorder in the monitoring group was less than that in control group , but there was no significant difference in the rate of pulmonary infection , urinary tract infection and hemorrhage of upper digestive tract between the two groups .The prognosis in the monitoring group was better than the control group .Conclusions Dynamic changes of ICP after decompressive craniectomy in patients with severe traumatic brain injury could be showed in the ICP monitor .We can effectively control ICP ,maintain cerebral perfusion pressure , reduce complications , morbidity and mortality by individualized treatment .关键词
颅内压监测/重型颅脑损伤/预后Key words
intracranial pressure monitoring/severe traumatic brain injured/prognosis分类
医药卫生引用本文复制引用
刘保华,熊方令,蔡旺,张建永,高行德,袁璞,张怀兵,姜宁,高明明..动态颅内压监测对重型颅脑损伤标准大骨瓣减压术后治疗的意义[J].临床神经外科杂志,2014,(2):128-130,3.
