| 高血压脑出血术后动态经颅多普勒超声与颅内压监护仪监测的临床意义 |
| |
| 引用本文： | 柳再明,甄明,杨大明,寇林,杨凯. 高血压脑出血术后动态经颅多普勒超声与颅内压监护仪监测的临床意义[J]. 中国实用神经疾病杂志, 2010, 13(11): 1-4 |
| |
| 作者姓名： | 柳再明 甄明 杨大明 寇林 杨凯 |
| |
| 作者单位： | 湖北监利县人民医院,监利,433300 |
| |
| 摘 要： | 目的 探讨高血压脑出血手术方式以及术后如何控制血压.方法 对与96例高血压脑出血患者分别行开颅血肿清除术和血肿腔钻孔引流术,同时对每例患者行颅内压和平均动脉压连续监测7 d,同时监测术后1、3、7、14 d行双侧大脑中动脉平均血流速度和搏动指数值.结果 开颅术对于血肿量>50 ml的患者远期生存质量(6月后ADL分级)与血肿腔钻孔引流术比较有显著差异;另外术后1 d、3 d、7 d、14 d的TCD参数结果分析,开颅术对于缓解颅内压力、改善脑血流优于钻孔引流组.对所有患者术后ICP、MAP监测能有效控制血压防止再出血.结论 对于血肿量>50 ml患者应选择开颅手术.对所有高血压脑出血患者术后应常规进行ICP、MAP监测.
|
| 关 键 词： | 高血压脑出血 经颅多普勒超声 颅内压监测 |
Significance of TCD and ICP monitoring after operation for hypertensive cerebral hemorrhage patients |
| |
| Liu Zaiming,Zhen Ming,Yang Daming,et al.. Significance of TCD and ICP monitoring after operation for hypertensive cerebral hemorrhage patients[J]. Chinese Journal of Practical Neruous Diseases, 2010, 13(11): 1-4 |
| |
| Authors: | Liu Zaiming Zhen Ming Yang Daming et al. |
| |
| Affiliation: | Liu Zaiming,Zhen Ming,Yang Daming,et al.Jianli People's Hospital,Jianli 433300,China |
| |
| Abstract: | Objective To explore the surgical methods on hypertensive cerebral hemorrhage and how to control blood pressure after operation.Methods Ninety-nine cases of hypertension cerebral hemorrhage patients were randomized to craniotomy and hematoma cavity drainage,while monitoring ICP and MAP consecutively for seven days,and monitoring Vm and PI of the bilateral MCA on the 1st,3rd,7th,14th day after operation.Results Patients of hematoma volume more than 50 ml with craniotomy whose long-term quality of live(ADL cl... |
| |
| Keywords: | Hypertensive cerebral hemorrhage TCD ICP monitoring |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
