[1]罗泽彬,钟东,唐文渊,等.脑实质内颅内压监护在小骨窗开颅治疗幕上高血压脑出血患者中的应用[J].第三军医大学学报,2011,33(12):1293-1295.
 Luo Zebin,Zhong Dong,Tang Wenyuan,et al.Application of intracranial pressure monitoring in treatment of hypertensive supratentorial hemorrhage patients with small skull window craniotomy[J].J Third Mil Med Univ,2011,33(12):1293-1295.
点击复制

脑实质内颅内压监护在小骨窗开颅治疗幕上高血压脑出血患者中的应用(/HTML )
分享到:

《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
33卷
期数:
2011年第12期
页码:
1293-1295
栏目:
论著
出版日期:
2011-06-30

文章信息/Info

Title:
Application of intracranial pressure monitoring in treatment of hypertensive supratentorial hemorrhage patients with small skull window craniotomy
作者:
罗泽彬钟东唐文渊廖正步
荣昌县人民医院神经外科;重庆医科大学附属第一医院神经外科
Author(s):
Luo Zebin Zhong Dong Tang Wenyuan Liao Zhengbu
Department of Neurosurgery, Rongchang People’s Hospital, Chongqing,  402460; Department of Neurosurgery, First Affiliated Hospital, Chongqing Medical University , Chongqing,  400016, China
关键词:
颅内出血高血压性颅骨切开术颅内压监护
Keywords:
intracranial hemorrhage hypertensive craniotomy intracranial pressure monitoring
分类号:
R743.34;R473.6;R651.11
文献标志码:
A
摘要:
目的    探讨小骨窗开颅手术治疗幕上高血压脑出血患者术后进行持续动态颅内压(intracranial pressure,ICP)监护的临床价值。    方法    采用脑实质内ICP监护法对19例小骨窗开颅的幕上高血压脑出血患者(2009年1月至2010年12月重庆医科大学附属第一医院神经外科住院患者)进行术后ICP动态监护。选取2008年1-12月该科11例小骨窗开颅手术患者作为对照(既往常规经验治疗组)。    结果    本组4例重度ICP增高患者在开始出现颅高压时仅2例有症状和体征,1例死亡。ICP监护组20%甘露醇应用天数为(8±3)d,剂量为(925±125)g;既往常规经验治疗组20%甘露醇应用天数为(11±4)d,剂量为(1475±175)g。ICP监护组20%甘露醇应用时间及剂量均明显低于既往常规经验治疗组(P<0.05)。    结论    脑实质内ICP持续监护有助于对小骨窗开颅治疗幕上高血压脑出血患者病情变化的及时、准确判断,可为疾病的早期、正确治疗提供可靠的依据。
Abstract:
Objective    To study the clinical significance of continuous intracranial pressure (ICP) monitoring in treatment of hypertensive supratentorial hemorrhage patients with small skull window craniotomy.    Methods    Hypertensive supratentorial hemorrhage in 19 patients admitted to first Affiliated Hospital of Chongqing Medical University from January 2009 to December 2010 was dynamically observed by ICP monitoring after small skull window craniotomy.     Results    Of the 4 patients with severely increased ICP, 2 had clinical symptoms and signs and 1 died. The average time of 20% mannitol used was 8±3 days and 11±4 days respectively, while the average dose of 20% mannitol used was 925±125 g and 1 475±175 g respectively in ICP monitoring group and routine treatment group. The time and dose of 20% mannitol used was shorter and lower in ICP monitoring group than in routine treatment group (P<0.05).     Conclusion     Continuous ICP monitoring contributes to the timely and accurate judgment of hypertensive supratentorial hemorrhage in patients undergoing small skull window craniotomy and provides the evidence for its early and correct treatment.

参考文献/References:

罗泽彬, 钟东, 唐文渊, 等. 脑实质内颅内压监护在小骨窗开颅治疗幕上高血压脑出血患者中的应用[J].第三军医大学学报,2011,33(12):1293-1295.

相似文献/References:

[1]余国容,徐晔,蔡金华,等.CT对晚发性维生素K缺乏症所致颅内出血诊断的价值[J].第三军医大学学报,2006,28(19):2001.
[2]张钶,霍钢,王晓澍,等.早期强化降压对高血压脑出血患者颅内血肿及水肿的影响[J].第三军医大学学报,2016,38(07):757.
 Zhang Ke,Huo Gang,Wang Xiaoshu,et al.Effect of early intensive antihypertensive treatment on hematoma and perihematomal edema in patients with hypertensive intracerebral hemorrhage[J].J Third Mil Med Univ,2016,38(12):757.
[3]王科,陈高.颅内出血的轻型颅脑损伤患者计划性CT复查必要性的探讨[J].第三军医大学学报,2014,36(04):402.
 Wang Ke,Chen Gao.Necessity of scheduled repeat cranial computed tomography in mild traumatic brain injury patients with intracranial hemorrhage[J].J Third Mil Med Univ,2014,36(12):402.
[4]王俊,王超,杨承勇,等.吡拉西坦治疗75例高血压脑出血术后患者的临床疗效[J].第三军医大学学报,2011,33(07):666.
[5]韩国强,刘窗溪,熊云彪,等.亚临床型小脑幕切迹疝的临床分析[J].第三军医大学学报,2011,33(08):866.
[6]冉庆国,梁平,李映良,等.晚发性维生素K缺乏致颅内出血114例的临床分析[J].第三军医大学学报,2011,33(23):2539.
[7]薛媛.10例婴幼儿颅内出血的护理[J].第三军医大学学报,2003,25(04):0.[doi:10.16016/j.1000-5404.2003.04.006 ]
[8]陈尚彝,涂瀛,杨宗才,等.老年和中年健康体检心缩间期及心排血量的分析[J].第三军医大学学报,1989,11(03):0.[doi:10.16016/j.1000-5404.1989.03.023 ]
[9]周新.原发性中脑出血1例报告[J].第三军医大学学报,1989,11(05):0.[doi:10.16016/j.1000-5404.1989.05.025 ]
[10]张忠辉,王富华,叶绍珍,等.糖尿病伴垂体出血(附一例报告)[J].第三军医大学学报,1987,09(04):0.[doi:10.16016/j.1000-5404.1987.04.030 ]

更新日期/Last Update: 2011-05-25