脑室型颅内压探头在双额叶脑挫伤中的应用价值.docVIP

精品论文 参考文献 脑室型颅内压探头在双额叶脑挫伤中的应用价值 DOI：10.7504/nk2016010203 中图分类号：692 文献标识码：A 　　摘要：目的：回顾性分析脑室型颅内压探头在双额叶脑挫伤患者中的监测及后续治疗中的指导作用。方法：回顾性分析2014年6月至2015年6月就诊于泰州市第四人民医院神经外科及解放军第101医院神经外科的85例双额叶脑挫伤患者的临床资料,比较以脑室型颅内压探头为导向的治疗方案与传统治疗方案的差别。结果：根据伤后6 个月GOS 预后评分判断两组预后差异无统计学意义（P ＞0.05）。与传统治疗组比较，颅内压导向组保守治疗率明显提高（Plt;0.05），去骨瓣比例明显下降，双侧开颅比例明显下降，平均住院时间明显缩短（P＜0.01），平均住院费用明显下降（P＜0.05）。结论：脑室型颅内压探头置入后以颅内压为导向的治疗方案可使双额叶脑挫伤患者获益并降低并发症、最大限度控制损伤、降低住院时间及住院费用，值得推广。 　　关键词：双额叶脑挫伤； 颅内压； 目标导向 　　The value of ventricular ICP monitoring in the bilateral frontal lobe laceration 　　Ji Meng, Chen Junhui, Xu Yilong,Zhang Wenwen, Zhang Jing, Sun Jilin, Zhao Tong. Department ofNeurosurgery, Taizhou NO.4 Hospital，Taizhou, 214044，China 　　Corresponding author: Xu Yilong, Email：xuyilong67@126.com. 　　【Abstract】 Objective ：To retrospective analysis the value and guidance for bilateral frontal lobe laceration patients. 　　Methods：Ｗｅ retrospectively reviewed 85 patients who were diagnosed bilateral frontal lobe laceration between Jun 2014 and Jun2015 at Taizhou NO.4 Hospital and PLA 101 hospital. To compared with the difference between new treatment and traditional treatment. 　　Results: There were no significant difference in prognosis between the two groups according to the GOS 6 months after injury (Pgt; 0.05). Compared with traditional group, the rate of conservative treatment successfully obviously improve, large trauma craniotomy obviously decreasedand the rate of bilateral craniotomy decreased in research group, also the hospitalization expenses and length of hospital stays was decreased obviously (P lt; 0.05). 　　Conclusions：It also had benefit of new treatment that it according to ICP for bilateral frontal lobe laceration. Because of new treatment can decreased the complications, hospitalization expenses, length of hospital stays and control The degree of brain injury. 　　【Keywords】bilateral frontal lobe laceration; ICP; goal orientation. 　　双侧额叶脑挫裂伤主要由于前额部直接撞击或后枕部受力产生的加速或减速所致对冲伤引起，临床较常见。多数患者入院时病情较轻,临床表现以头痛、躁动为