颅内压监护在重型颅脑外伤中的作用.pdfVIP

Abstract patients with intracranial pressure in craniocerebral surgery after 12 hours began to appear slightly elevated ICP in 15 ~ 20 mmHg) after 48 hours appear around the peak, most of the patients in 20 ~ 30 mmHg fluctuations, the peak appeared in the 3 -5 days, the fluctuation of ICP value in 25 ~ 30 mmHg,some patients ICP reached 35 to 40 mmHg, the part of the patient progno sis is good, part of the patients after 1 to 4 hours of intracranial pressure increases as high as 30 to 40 mmHg, suggesting that may be required reoperation treatment. 3.ICP group was found in 7 cases required reoperation for patients, the time for 2.2±0.8 (H) and conventional group found that needed to surgery patients in 8 cases, the time for 3.4±1.1 (H), after surgery, the ICP group in Glasgow Outcome Score (GOS) light disability in 2 cases, severe disability in 2 cases, plant survival in 2 cases, 1 case died, conventional group 1 had severe disability, plant survival in 4 cases, 3 cases died, the two groups of patients found again operative time and prognosis were statistically significant (P 0.05). 4.ICP group the dosage of mannitol for 951.0±325.4 (g), complicated with acute renal function not all 3 cases (10%), the dosage of mannitol in the routine group for 1260.0±635.7 (g), complicated with acute renal function is not all of the 10 cases (33.3%), respectively, were statistically analyzed and were statistically significant (P 0.05). 5.ICP group occurred intracranial infection in 1 case (3.3%), the cable travel around new hemorrhage cases (0%) and routine group occurred intracranial infection in 2 cases (6.7%), compared with no statistical significance (P 0.05). Conclusion: 1.Application of ICP monitoring can improve the prognosis of patients with reh- abilitation in patients with seve