CAJ | 학술논문

目的：观察颅脑损伤开颅术后患者颅内压（ICP）的变化，探究持续有创动态颅内压监测在颅脑损伤术后的应用价值。方法：选择颅脑损伤并进行大骨瓣开颅手术的患者80例，应用硬脑膜下压力测定法，进行持续有创动态颅内压监测，根据观察结果，判断颅内伤情、脑水肿情况和指导临床治疗，并观察其疗效。结果：80例患者在颅内压监测下，7例再次手术；ICP越高，GCS越低；ICP越高，预后越差，6个月后有6例患者死亡。结论：对颅脑损伤患者进行术后持续有创动态颅内压监测，有助于监测继发性脑水肿、及早发现颅内再出血，指导及时调整治疗措施，有重要临床应用价值。
목적：관찰로뇌손상개로술후환자로내압（ICP）적변화，탐구지속유창동태로내압감측재로뇌손상술후적응용개치。방법：선택로뇌손상병진행대골판개로수술적환자80례，응용경뇌막하압력측정법，진행지속유창동태로내압감측，근거관찰결과，판단로내상정、뇌수종정황화지도림상치료，병관찰기료효。결과：80례환자재로내압감측하，7례재차수술；ICP월고，GCS월저；ICP월고，예후월차，6개월후유6례환자사망。결론：대로뇌손상환자진행술후지속유창동태로내압감측，유조우감측계발성뇌수종、급조발현로내재출혈，지도급시조정치료조시，유중요림상응용개치。
Objective:To observe the change of intracranial pressure(ICP)of patients after craniocerebral injury surgery,and to investigate the application value of dynamic continuous invasive intracranial pressure monitoring after craniocerebral injury surgery. Method:80 patients with craniocerebral injury who received large bone flap craniotomy were selected to make dynamic continuous invasive intracranial pressure monitoring. On the basis of observation,intracranial injury and brain edema were judged to guide the clinical treatment. Its treatment effect was observed. Result:7 cases of 80 patients received the surgery again under intracranial pressure monitoring. If the ICP was higher,the GCS was lower. If ICP was higher,the prognosis was worse. There were 6 patients died after 6 months. Conclusion:Dynamic continuous invasive intracranial pressure monitoring for craniocerebral injury patients after operation helps monitor secondary brain edema and early find intracranial rebleeding. And it has the important clinical value for guiding and timely adjusting the treatment measures.