CAJ | 학술논문

目的：探讨颅内压监测在脑出血置管引流治疗中的意义。方法对46例脑出血患者行颅骨钻孔置管引流及颅内压监测，在颅内压监测下操作治疗，逐步血肿引流，调整脱水药物，进行控制性治疗。结果46例患者术后再出血6例并开颅手术，其余患者均钻孔术后平稳。1月后按GOS预后评分量表评定，好转39例（84．78％），植物生存1例（2．18％），死亡（包括自动出院，放弃治疗者）6例（13．04％）。结论颅内压监护在脑出血置管引流术中、术后的处理有了客观的指导指标，能降低术中术后风险，患者预后较好。
목적：탐토로내압감측재뇌출혈치관인류치료중적의의。방법대46례뇌출혈환자행로골찬공치관인류급로내압감측，재로내압감측하조작치료，축보혈종인류，조정탈수약물，진행공제성치료。결과46례환자술후재출혈6례병개로수술，기여환자균찬공술후평은。1월후안GOS예후평분량표평정，호전39례（84．78％），식물생존1례（2．18％），사망（포괄자동출원，방기치료자）6례（13．04％）。결론로내압감호재뇌출혈치관인류술중、술후적처리유료객관적지도지표，능강저술중술후풍험，환자예후교호。
Objective To explore the significance of intracranial pressure monitoring catheter drainage in the treatment of cerebral hemorrhage .Methods 46 patients with cerebral hemorrhage were performed skull drilling drainage catheter and intracranial pressure monitoring ,operation treatment were underwent under intracranial pressure monitoring, drainage of hematoma gradually , dehydration drugs adjusted and conducted control treatment .Results Of 46 patients after operation ,there were blooding and craniotomy in 6 , the remaining patients were stable after drilling . After one month, the GOS score rating scale showed improvement in 39 cases (84.78%), plant survival in 1 case (2. 18%) and death (including automatic discharge, abandon treatment) in 6 (13.04%).Conclusions Intracranial pressure monitoring has the objective guiding indicators in catheter drainage of cerebral hemorrhage surgery and postoperative treatment, can reduce the risk of intraoperative and postoperative with good prognosis .