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| 腹腔内高压对颅脑创伤患者颅内压的影响 | |
| 引用本文： | 缪国专,张远征,周益民,刘佰运,侯立军,金海,潘承光.腹腔内高压对颅脑创伤患者颅内压的影响[J].中华创伤杂志,2009,25(3). |
| 作者姓名： | 缪国专 张远征 周益民 刘佰运 侯立军 金海 潘承光 |
| 作者单位： | 1. 武警总医院神经外科,北京,100039 2. 解放军总医院神经外科 3. 秦皇岛市第一医院神经外科 4. 第二军医大学附属长征医院神经外科 |
| 基金项目： | 国家自然科学基金，全军医学科学技术研究计划，上海市科学技术委员会基础研究重点课题，军队科技攻关课题 |
| 摘 要： | 目的 探讨腹腔内高压对颅脑创伤患者颅内压的影响以及腹腔减压术的临床意义.方法对15例同时存在腹部和颅脑创伤的患者腹腔内压力和颅内压监测,比较腹腔减压术后颅内压的变化情况.结果 所有颅脑创伤合并腹部损伤的患者,在行腹腔减压术后,颅内高压均得到一定程度的改善,颅内压下降(15.2±3.6)mm Hg.结论腹腔内压力变化影响颅内压变化,对于颅脑创伤合并腹部损伤的患者,如出现颅内压升高征象,行腹腔减压术可能是一种有效的降低颅内压的于段. |
| 关 键 词： | 脑损伤 压力 腹腔内 颅内压 |
Effect of high intra-abdominal pressure on intracranial pressure of patients with brain injury combined with abdominal trauma |
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| MIAO Guo-zhuan,ZHANG Yuan-zheng,ZHOU Yi-min,LIU Bai-yun,HOU Li-jun,JIN Hai,PAN Cheng-guang.Effect of high intra-abdominal pressure on intracranial pressure of patients with brain injury combined with abdominal trauma[J].Chinese Journal of Traumatology,2009,25(3). | |
| Authors: | MIAO Guo-zhuan ZHANG Yuan-zheng ZHOU Yi-min LIU Bai-yun HOU Li-jun JIN Hai PAN Cheng-guang |
| Abstract: | Objective To investigate the impact of high intra-abdominal pressure on intracranial pressure in patients with traumatic brain injury and discuss the clinical significance of abdominal decom-pression. Methods Intra-abdominal pressure and intracranial pressure of 15 patients with abdominal trauma and brain injury were observed to discuss changes of intracranial pressure after abdominal decom-pression. Results After abdominal decompression, all patients got lower intracranial pressure, with decrease of (15.2±3.6) mm Hg. Conclusion Intra-abdominal pressure does affect intracranial pres-sure for patients with abdominal trauma and brain injury. Abdominal decompression may be effective for high intracranial pressure. |
| Keywords: | Brain injuries Pressure intra-abdominal Intracranial pressure |
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