CAJ | 학술논문

目的探讨腹腔内高压对颅脑创伤患者颅内压的影响以及腹腔减压术的临床意义.方法对15例同时存在腹部和颅脑创伤的患者腹腔内压力和颅内压监测,比较腹腔减压术后颅内压的变化情况.结果所有颅脑创伤合并腹部损伤的患者,在行腹腔减压术后,颅内高压均得到一定程度的改善,颅内压下降(15.2±3.6)mm Hg.结论腹腔内压力变化影响颅内压变化,对于颅脑创伤合并腹部损伤的患者,如出现颅内压升高征象,行腹腔减压术可能是一种有效的降低颅内压的于段.
목적 탐토복강내고압대로뇌창상환자로내압적영향이급복강감압술적림상의의.방법대15례동시존재복부화로뇌창상적환자복강내압력화로내압감측,비교복강감압술후로내압적변화정황.결과 소유로뇌창상합병복부손상적환자,재행복강감압술후,로내고압균득도일정정도적개선,로내압하강(15.2±3.6)mm Hg.결론복강내압력변화영향로내압변화,대우로뇌창상합병복부손상적환자,여출현로내압승고정상,행복강감압술가능시일충유효적강저로내압적우단.
Objective To investigate the impact of high intra-abdominal pressure on intracranial pressure in patients with traumatic brain injury and discuss the clinical significance of abdominal decom-pression. Methods Intra-abdominal pressure and intracranial pressure of 15 patients with abdominal trauma and brain injury were observed to discuss changes of intracranial pressure after abdominal decom-pression. Results After abdominal decompression, all patients got lower intracranial pressure, with decrease of (15.2±3.6) mm Hg. Conclusion Intra-abdominal pressure does affect intracranial pres-sure for patients with abdominal trauma and brain injury. Abdominal decompression may be effective for high intracranial pressure.