中华神经创伤外科电子杂志Issue(2)：17-20,4.DOI:10.3877/cma.j.issn.2095-9141.2015.02.006
持续颅内压监测在额叶挫裂伤患者治疗中的作用
Role of continuous intracranial pressure monitoring in the treatment of patients with frontal lobe contusions
摘要
Abstract
Objective To investigate the experience of continuous intracranial pressure monitoring in the treatment of patient with frontal lobe contusions. Methods The patients were selected from April 2011 to October 2014 in the Second Hospital of Shandong University treated as brain contusion in frontal lobe. The clinical data of 13 patients with frontal lobe contusions were retrospectively analyzed. All patients accepted conservative treatment or operation treatment, and continuous intracranial pressure (ICP) monitoring, the prognosis of the patients were evaluated by Glasgow Outcome Scale. Results Four patients passed the brain edema peak period and recovered completely. Nine patients accepted removal of contusion operation and decompressive craniectomy. All patients were followed-up for 6 months. seven patients obtained good recovery (53.8%), 1 patient was mild disability (7.7%), 3 patients were severe disability (23.1%), and 2 patients died (15.4%). Conclusions The disease course of frontal lobe contusions had the characteristics of better conscious condition, abrupt deterioration, and prolonged brain edema duration. The intracranial pressure monitoring could insure the security of conservative treatment, and once the condition deteriorated, it could detect the brain herniation in advance, so the decompressive craniotomy would be carried out accordingly, the patient could havea better outcome.关键词
脑挫裂伤/额叶/中心疝/持续颅内压监测Key words
Brain contusion/Frontal lobe/Central hernia/Continuous intracranial pressure monitoring引用本文复制引用
孟庆虎,孟华,丁璇,姜军,曲春城..持续颅内压监测在额叶挫裂伤患者治疗中的作用[J].中华神经创伤外科电子杂志,2015,(2):17-20,4.基金项目
山东大学自主创新基金(20127S179) （20127S179）
