Abstract:Objective To investigate changes of intracranial pressure in heavy and severe head injury patients within 1 week after injury. Methods A total of 75 patients with intracranial pressure were monitored, including 50 patients with heavy brain injury and 25 patients with severe traumatic brain injury, monitoring lasted 0 to 7 days, 2 h, 4 h, 6 h, 12 h, 24 h intracranial pressure and 2, 3, 4, 5, 6, 7 d measured every 4h intracranial pressure mean after injury were compared. Results The average intracranial pressure in whole group of 75 patients was higher than in normal adults; 26 patients died in 7 days. whether it was the whole group, severe brain injury group or severe head injury group, in comparison of those who died and survivors, the average intracranial pressure increased in 0-5 d after injury (P<0.05), 2 h and 3 d most significantly different after injury (P<0.01). Conclusions Through dynamic monitoring of the heavy and severe traumatic brain injury patients with intracranial pressure, can timely understand the changes of intracranial pressure, to provide basis and reference of further examination, treatment and surgery for the patients.
李秋松,陈翀,王保平,袁大伟. 重型和特重型颅脑损伤患者伤后1周内颅内压变化特点[J]. 武警医学, 2016, 27(1): 40-42.
LI Qiusong, CHEN Chong, WANG Baoping, and YUAN Dawei. Intracranial pressure monitoring of patients with heavy and severe head injury. Med. J. Chin. Peop. Armed Poli. Forc., 2016, 27(1): 40-42.
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