临床神经外科杂志2017，Vol.14Issue(6)：466-468,3.DOI:10.3969/j.issn.1672-7770.2017.06.015
TCD对重度颅脑损伤去骨瓣减压术围手术期血流动力学监测的意义
Significance of TCD perioperative hemodynamic monitoring on severe brain injury patients who accepted decompressive craniectomy
黄培赞 1赵应群 1宋永福 1赵伟 1蒋顶1
作者信息
摘要
Abstract
Objective To explore the perioperative hemodynamic changes and prognosis of patients with severetraumatic brain injury after decompressive craniotomy.Methods 86 patients with severe traumatic brain injury [ Glasgow coma scale ( GCS ) less than 8 ] from April 2015 to April 2017 in our hospital were underwent by decompressive craniotomy,and TCD was used to monitor the hemodynamic parameters of bilateral middle cerebral artery ( MCA) and extracranial internal carotid artery ( ICAex) of both sides in all patients before and after operation.Results Compared to the results before the surgery,the Vm of bilateral MCA and ICAex were significantly increased after the surgery (P <0.05).And compared to the contralateral side,the Vm of operative side increased more significantly.Compared to the results before the surgery,the PI of bilateral MCA and ICAex decreased significantly after the surgery ( P <0.05),and compared to the contralateral side,the PIof operative side decreased more significantly.And the spectrum of patients after operation changed to the type ofhigh blood flow and low resistance.Conclusion TCD can in detecting the hemodynamic changes of patients with serious traumatic brain are significant to the prognosis of the patients.关键词
经颅多普勒超声/重度颅脑损伤/去骨瓣减压术/围手术期/血流动力学Key words
trans-cranial Doppler/serious traumatic brain injury/decompressive craniotomy/perioperative/hemodynamic分类
医药卫生引用本文复制引用
黄培赞,赵应群,宋永福,赵伟,蒋顶..TCD对重度颅脑损伤去骨瓣减压术围手术期血流动力学监测的意义[J].临床神经外科杂志,2017,14(6):466-468,3.
