CAJ | 학술논문

目的：探讨有创颅内压监测对轻中度颅脑损伤患者治疗方式选择的指导价值。方法：回顾分析2011年8月—2013年8月收治的20例轻中度颅脑损伤患者，格拉斯哥昏迷指数（Glasgow coma scale，GCS）评分8～15分，行保守治疗后颅内压呈不可控上升，患者影像学表现、临床体征未出现明确的手术指征，但均有 GCS 评分降低（均未低于6分）。12例患者的家属选择手术治疗，8例患者的家属选择保守治疗。结果：手术患者与非手术患者远期预后的差异不明显，但手术患者的早期恢复（GCS 评分≥13分）优于非手术患者。结论：有创颅内压监测有助于及时了解轻中度颅脑损伤患者的颅内压变化，便于及时调整治疗。
목적：탐토유창로내압감측대경중도로뇌손상환자치료방식선택적지도개치。방법：회고분석2011년8월—2013년8월수치적20례경중도로뇌손상환자，격랍사가혼미지수（Glasgow coma scale，GCS）평분8～15분，행보수치료후로내압정불가공상승，환자영상학표현、림상체정미출현명학적수술지정，단균유 GCS 평분강저（균미저우6분）。12례환자적가속선택수술치료，8례환자적가속선택보수치료。결과：수술환자여비수술환자원기예후적차이불명현，단수술환자적조기회복（GCS 평분≥13분）우우비수술환자。결론：유창로내압감측유조우급시료해경중도로뇌손상환자적로내압변화，편우급시조정치료。
Objective:To explore the clinical significance of invasive intracranial pressure monitoring in the treatment of mild to moderate traumatic brain injury.Methods:The clinical data of 20 patients with mild to moderate traumatic brain injury from Aug 2011 to Aug 2013 were retrospectively analyzed,whose Glasgow coma scale(GCS)was 8-15.After a series of conventional conservative treatment,intracranial pressure uncontrollably increased,However,the patients′ imaging,clinical signs did not show clear indications for surgery.GCS dropped in all the 20 cases,but none was lower than 6.Among them,12 patients’fami-ly members chose surgery,while the others chose conservative treatment.Results:Long-term prognosis had no significant difference between the surgery group and the non-surgery group.But the surgery group had more advantages than the non-sur-gery group in early recovery of consciousness(GCS≥13).Conclusions:The application of invasive intracranial pressure monito-ring can refect the change of intracranial pressure,which is conducive to adjust the treatment in time.