CAJ | 학술논문

目的：对颅脑外伤术后患者动态颅内压(ICP)变化进行总结，分析颅内压监测在颅脑外伤术后治疗中的应用及对预测患者预后的临床意义。方法收集该院颅脑外伤手术且术后行ICP监测的患者60例，采用侧脑室导管测压法或硬脑膜下压力测定法对患者进行动态颅内压监测，通过监测结果指导临床治疗，并对监测结果对患者预后进行初步判断。结果短期内颅内压升高对预测术后再出血有积极意义。对患者术后第1天脱水前ICP与6个月后的预后关系进行观察，发现颅内压越高，其预后就越差。持续颅内压重度升高是患者预后较差的指标。结论动态颅内压监测不仅有助于及早发现颅内再出血，还可准确评估预后，同时对治疗措施进行有效指导和调整，起到减少术后并发症，提高治疗效果的作用。
목적：대로뇌외상술후환자동태로내압(ICP)변화진행총결，분석로내압감측재로뇌외상술후치료중적응용급대예측환자예후적림상의의。방법수집해원로뇌외상수술차술후행ICP감측적환자60례，채용측뇌실도관측압법혹경뇌막하압력측정법대환자진행동태로내압감측，통과감측결과지도림상치료，병대감측결과대환자예후진행초보판단。결과단기내로내압승고대예측술후재출혈유적겁의의。대환자술후제1천탈수전ICP여6개월후적예후관계진행관찰，발현로내압월고，기예후취월차。지속로내압중도승고시환자예후교차적지표。결론동태로내압감측불부유조우급조발현로내재출혈，환가준학평고예후，동시대치료조시진행유효지도화조정，기도감소술후병발증，제고치료효과적작용。
Objective To summarize the change of dynamic intracranial pressure (ICP) in patients after craniocerebral trauma op-eration, analyze the clinical significance of ICP monitoring for the therapy after craniocerebral trauma operation and predicting the prognosis of the patients. Methods 60 cases with ICP monitoring after craniocerebral trauma operation in our hospital were select-ed. Lateral ventricular catheter pressure measuring method or subdural pressure measurement was used to measure the dynamic intracranial pressure of the patients. And the results of monitoring were used to guide the clinical treatment and judge the progno-sis of the patients preliminarily. Results Elevated ICP in short term has a positive significance for predicting postoperative re-bleeding. The relationship between the ICP before dehydration at the first day after surgery in patients and the prognosis 6 months later was observed and it was found that the higher the intracranial pressure, the worse the prognosis. The persistent severe in-crease of ICP in patients is the index of poor prognosis. Conclusion Dynamic monitoring of intracranial pressure can not only help early detect intracranial rebleeding, but also accurately assess the prognosis, as well as guide and regulate the treatment measures effectively so as to reduce the postoperative complications and improve the treatment effect.