摘要
目的探讨颅内压监测对颅内血肿术后治疗的指导意义。方法选取415例外伤性颅内血肿患者,在血肿清除术后持续动态监测颅内压和根据监测指导临床治疗,观察疗效。结果 415例患者在颅内压监测结果的指导下,294例正常或轻度增高者减少脱水剂用量,121例中重度增高者及时加大脱水剂用量,其中有42例术后实时监测颅内压发现患者颅压增高CT证实迟发血肿进而实施二次手术,取得良好疗效。结论颅内血肿清除术后持续动态颅内压监测,对及时发现术后血肿形成、指导脱水治疗有较高的临床应用价值。
Objective To investigate the significance of monitoring intracranial pressure after surgical treatment of intracranial hematoma.Methods Clinical data of 415 patients with craniocerebral hematoma were retrospectively reviewed.These patients’intracranial pressure was dynamically monitored after the hematoma was removed.Results With the guidance of monitoring,294 patients with normal or slightly elevated intracranial pressure were given reduced dosage of dehydrant,while 121 patients who had moderate to severe intracranial pressure were given increased dosage of dehydrant,42 of whom were found to have delayed hematoma and then received a second operation.Conclusion Dynamic monitoring of intracranial pressure after removal of intracranial hematoma can help to timely detect postopera-tive hematoma and guide dehydration.
出处
《山东大学学报（医学版）》
CAS
北大核心
2015年第4期92-94,96,共4页
Journal of Shandong University:Health Sciences
基金
上海市卫生局青年基金(20124Y140)
关键词
颅内压监测
颅脑损伤
颅内血肿
术后
治疗
Monitoring of intracranial pressure
Brain injury
Intracranial hematoma
Postoperative
Treatment
