颅内压监测在30例重型颅脑损伤中的应用效果

刘礼锋，田传勇，李明升，黄蔚文，郭有伟，刘阳

（商南县医院神经外科，陕西 商洛，726300）

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摘要：

目的 探讨颅内压监测在重型颅脑损伤中的应用效果。方法 对在我院行颅内压监测的重型颅脑损伤30 例患者的临床 资料进行回顾性分析，所有患者均行持续颅内压监测，依据颅内压监测数值指导脱水及是否行手术治疗。结果 30 例重型颅 脑损伤患者中，肺部感染7 例，消化道出血3 例，肾功能损害2 例，电解质紊乱5 例。根据治疗3 个月后的GOS 评分，恢复良 好12 例，中残9 例，重残6 例，植物生存1 例，死亡2 例。结论 颅内压监测应用于重型颅脑损伤患者可提高救治成功率，降 低患者不良反应发生率，改善预后。

关键词：颅内压监测；重型颅脑损伤；GOS 评分

中图分类号：R651.15文献标志码：A文章编号：2096-1413(2018)03-0105-02

Application effect of intracranial pressure monitoring in 30 cases of severe craniocerebral injury
LIU Li-feng, TIAN Chuan-yong, LI Ming-sheng, HUANG Wei-wen, GUO You-wei, LIU Yang


(Neurosurgery Department, the Hospital of Shangnan County, Shangluo 726300, China)

ABSTRACT: Objective To investigate the application effect of intracranial pressure monitoring in patients with severe craniocerebral injury. Methods The clinical data of 30 severe craniocerebral injury patients who received intracranial pressure monitoring were retrospectively analyzed. All the patients were given continuous intracranial pressure monitoring, and the treatment of dehydration and surgery was performed according to the intracranial pressure monitoring. Results In 30 severe craniocerebral injury patients, there were 7 cases of lung infection, 3 cases of gastrointestinal bleeding, 2 cases of renal impairment and 5 cases of electrolyte disturbances. There were good recovery in 12 cases, moderate disability in 9 cases, severe disability in 6 cases, vegetative survival in 1 case and death in 2 cases according to the GOS scores at 3 months after treatment. Conclusion Intracranial pressure monitoring in patients with severe craniocerebral injury can improve the success rate of treatment, reduce the incidence of adverse reactions and improve the prognosis for the patients.
KEYWORDS: intracranial pressure monitoring ; severe craniocerebral injury; GOS score

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