颅内压监测在侧裂-岛叶入路清除基底节区血肿术后的应用

目的探讨颅内压(ICP)监测在小骨窗经侧裂-岛叶入路清除基底节区脑出血术后的作用。方法回顾性分析60例基底节区脑出血的患者的临床资料和ICP监测数据,根据术后是否行ICP监测分为ICP监测组(n=36)和对照组(n=24),比较两组患者的术后人均甘露醇使用量,再出血率,平均住院时间,术后死亡率以及远期疗效等相关指标差异。结果术后2 h复查头颅CT,54例血肿清除量大于80%,术后再出血13例,ICP监测组7例,对照组6例,均行二次手术。ICP的高峰期出现在术后的3~7 d内。结论脑出血术后ICP监测能及时反映病情变化、调整治疗方案、利于患者恢复。

Application of intracranial pressure monitoring in postoperation of basal ganglia hematoma being evacuating through transsylvian-transinsular approach

Objective To observe the change regularity of intracranial pressure（ ICP） and investigate the guiding significance of the application of ICP monitoring in basal ganglia hemorrhage.Methods The clinical data and ICP monitoring data of 60 patients with basal ganglia hemorrhage were analyzed retrospectively.All the patients were divided into ICP monitoring group （n=36） and control group （n=24） .The dosage of mannitol postoperatively, the rate of rebleeding, the length of hospitalization, mortality and long-term outcomes were compared between two groups. Results Hematomas were evacuated satisfactorily in all patients based on postoperative CT examination two hours later.The rate of hematomas evacuateing exceeding 80%extended 54 patients, the rebleeding patients were 7 in ICP monitoring group and 6 in control group.Conclusion The combination of ICP monitoring being equipped with the timely observation of illness changes, regulation of therapeutic regimens and rapid recovery for these patients.