CAJ | 학술논문

目的探讨颅内压监测下的阶梯治疗方案对于严重外伤性脑水肿的治疗有效性.方法 24例入院评分GCS 14或15分的轻度颅脑损伤患者继发严重脑水肿,经有创颅内压监测,阶梯治疗方案有效控制高颅压,缓解脑水肿.结果颅内压监测下的阶梯治疗安全有效地治疗此病例组的脑水肿和高颅压,其中14例手术清除血肿去骨瓣减压,10例仅阶梯治疗就良好控制颅内压,所有病例组无死亡和严重并发症,3个月后随访所有病例GOS评分均为5分.结论颅内压监测下阶梯治疗方案在控制轻度颅脑损伤患者继发严重脑水肿是有效的；颅内压是此类患者治疗重要的监测标准.
목적 탐토로내압감측하적계제치료방안대우엄중외상성뇌수종적치료유효성.방법 24례입원평분GCS 14혹15분적경도로뇌손상환자계발엄중뇌수종,경유창로내압감측,계제치료방안유효공제고로압,완해뇌수종.결과 로내압감측하적계제치료안전유효지치료차병례조적뇌수종화고로압,기중14례수술청제혈종거골판감압,10례부계제치료취량호공제로내압,소유병례조무사망화엄중병발증,3개월후수방소유병례GOS평분균위5분.결론 로내압감측하계제치료방안재공제경도로뇌손상환자계발엄중뇌수종시유효적；로내압시차류환자치료중요적감측표준.
Objective To verify the step -wise therapy under ICP monitoring is effective on severe brain edema after TBI.Methods 24 cases with mild TBI with GCS score 14 or 15 had severe brain edema.All these edema cases had been controlled under stepwise therapy and intensive ICP monitoring.Results 14 of 24 cases with severe edema underwent decompression and 10 of which without. All cases recovered smoothly and had no mortality and morbidity,or even severe complication.All the patientsGOS scores after 3 months were 5. Conclusions The step - wise therapy under ICP monitoring is effective and safe for severe edema of mild TBI patients.ICP is the most important standard for mild edema after TBI.