|
|
Intracranial pressure monitoring of patients with heavy and severe head injury |
LI Qiusong, CHEN Chong, WANG Baoping, and YUAN Dawei |
Emergency Department, Hunan Provincial Corps Hospital, Chinese People’s Armed Police Forces, Changsha 410006,China |
|
|
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.
|
Received: 27 June 2015
|
|
|
|
|
[1] |
郭业强, 梁东艺. 重型颅脑损伤临床救治体会[J]. 中国临床神经外科杂志, 2014, 18(6): 272-273.
|
[2] |
林中平,王雪涛. 颅内压监测在重型颅脑损伤中的临床应用[J]. 岭南急诊医学杂志, 2013,18(6): 61-62.
|
[3] |
冯 磊,林 涛,车海江.脑室内颅内压监测在急性重型颅脑损伤中的应用[J].包头医学院学报, 2015, 31(4): 64-75.
|
[4] |
张旗林,迟风令,光正耀,等. 42例重型颅脑损伤患者颅内压动态变化[J]. 山东医药, 2014, 54(20): 99-100.
|
[5] |
Bao Y H, Liang Y M, Gao G Y, et al. Bilateral decompressive craniotomy for patients with malignant diffuse brain swelling after severe traumatic brain injury: a 37-case study [J]. J Neurotrauma, 2010, 27(2): 341-347.
|
[6] |
Yuan Q, Liu H, Wu X, et al. Predictive value of initial intracranial pressure for refractory intracranial hypertension in persons with traumatic brain injury: a prospective observational study [J]. Brain Inj,2013,27(6):664-670.
|
[7] |
Sankhyan N, Vykunta Raju K N, Sharma S, et al. Management of raised intracranial pressure [J]. Indian J Pediatr, 2010, 77(12): 1409-1416.
|
[8] |
杨 松,黄 玮. 持续脑灌注压监测在治疗重型颅脑损伤中的临床应用[J]. 微创医学, 2013, 8(5): 622-624.
|
[9] |
Rohlwink U K, Zwane E, Fieggen A G, et al. The relationship between intracranial pressure and brain oxygenation in children with severe traumatic brain injury [J]. Neurosurgery, 2012, 70(20): 1220-1230.
|
[10] |
刘长文,王剑荣. 严重颅脑创伤处理指南解读(ICU部分)[J]. 现代实用医学, 2012, 24(1): 5-7.
|
[11] |
白 斌.重型颅脑损伤围手术期持续脑灌注压监测的临床意义[J].中国药物与临床, 2014, 14(1): 105-106.
|
|
|
|