2058例重型颅脑创伤颅内压动态监护分析

目的 探讨颅内压(intraeranial pressure,ICP)持续动态监护对重型颅脑创伤(severe traumatic brain injury,sTBI)救治的指导意义.方法 分别采用脑窜内及脑实质内ICP监护法,对2058例sTBI患者进行ICP持续动态监护,观察ICP与患者生命体征、临床表现和预后的关系,分析其对脑室外引流及其他降颅压治疗的指导作用.结果 ICP持续动态监护末并发严重颅内感染及出血,脑室外引流对持续ICP增高者有显著的治疗作用,ICP值与患者预后呈显著负相关.结论 ICP持续动态临护安全、易行,其有助于sTBI患者病情变化的及时、正确判断,能为临床医生制定治疗方案及预后病人评估提供重要的参考依据.

Analysis of intracranial pressure continuously monitoring on 2058 cases of patients with traumatic brain injury

Objective To investigate the guide effect of intracranial pressure (ICP) continuously monitoring for the patients with severe traumatic brain injury (sTBI). Methods ICP continuously monitoring was conducted by the brain parenchyma or ventricle 1CP monitoring respectively in 2058 cases of the patients with TBI. We observed the relationship between ICP levels and the vital sign,prognosis,and analyzed the therapeutic effect of CSF extemal ventrieular drainage and some reducing ICP treatment respectively in these patients. Results The intracranial pressure (ICP) continuously monitoring had no complicated any serious intracranial infection and hemorrhage. The CSF continuously external ventricular drainage had a significantly effect to reduce ICP,the negative correlation between ICP levels and prognosis was observed. Conclusion Continuous ICP monitoring is a safe,easily doing method,it could offer available parameters,let doctors know intracranial pathologic changes,and make exact early therapeutic regimen,and evaluate prognosis of the patients with TBI .