脑与神经疾病杂志
腦與神經疾病雜誌
뇌여신경질병잡지
JOURNAL OF BRAIN AND NERVOUS DISEASES
2015年
4期
273-275,276
,共4页
颅内压%持续颅内压监护%丘脑出血%侧脑室外引流%尿激酶
顱內壓%持續顱內壓鑑護%丘腦齣血%側腦室外引流%尿激酶
로내압%지속로내압감호%구뇌출혈%측뇌실외인류%뇨격매
Intracranial pressure%Intracranial pressure monitoring%Thalamic hemorrhage%Lateral ventricle drainage%Urokinase
目的:探讨颅内压监护在丘脑出血破入脑室治疗中的作用。方法收集120例丘脑出血破入脑室患者的临床资料,比较应用颅内压监护组与未应用颅内压监护组患者预后。结果颅内压监护组的预后优于无颅内压监护组,两者比较差异有统计学意义(P<0.05)。结论颅内压监测下侧脑室外引流治疗高血压性丘脑出血破入脑室可以更加直观、更准确地了解患者颅内压的变化情况,可廓清血性脑脊液,避免了脱水剂的过度应用,减少脑的继发性损害,从而减少病残率与病死率,改善了患者的预后,是理想的监测方法。
目的:探討顱內壓鑑護在丘腦齣血破入腦室治療中的作用。方法收集120例丘腦齣血破入腦室患者的臨床資料,比較應用顱內壓鑑護組與未應用顱內壓鑑護組患者預後。結果顱內壓鑑護組的預後優于無顱內壓鑑護組,兩者比較差異有統計學意義(P<0.05)。結論顱內壓鑑測下側腦室外引流治療高血壓性丘腦齣血破入腦室可以更加直觀、更準確地瞭解患者顱內壓的變化情況,可廓清血性腦脊液,避免瞭脫水劑的過度應用,減少腦的繼髮性損害,從而減少病殘率與病死率,改善瞭患者的預後,是理想的鑑測方法。
목적:탐토로내압감호재구뇌출혈파입뇌실치료중적작용。방법수집120례구뇌출혈파입뇌실환자적림상자료,비교응용로내압감호조여미응용로내압감호조환자예후。결과로내압감호조적예후우우무로내압감호조,량자비교차이유통계학의의(P<0.05)。결론로내압감측하측뇌실외인류치료고혈압성구뇌출혈파입뇌실가이경가직관、경준학지료해환자로내압적변화정황,가곽청혈성뇌척액,피면료탈수제적과도응용,감소뇌적계발성손해,종이감소병잔솔여병사솔,개선료환자적예후,시이상적감측방법。
[ Abstract] Objective To discuss the role of intracranial pressure monitoring on patients of thalsmic hemorrhage break into ventriculus.Methods 120 patients of thalamic hemorrhage broken into ventricle was collected,and prognosis between the intracranial pressure monitoring group and non-monitoring group were compared. Rseults The mortality of the intracranial pressure monitoring group and both comparative difference was statistically significant(P<0.05).Conclusion The application of intracranial pressure monitoring lateral ventricle drainage in hypertensive thalamic hemorrhage into the ventricles,which can directly and correctly observe the change of the intracranial pressure,and can clear brain eddma fluid avoiding the overuse of dehydrating agent,and reducing the secondary brain damage, so it can reduce the probability of rebleeding and mortality rates, and improve patient outcomes.It is an ideal monitor method.