[1]魏子龙,任力,沙龙贵,等.持续颅内压监测在自发性脑出血破入脑室治疗中的应用[J].临床神经外科杂志,2018,15(01):42-45.[doi:10.3969/j.issn.1672-7770.2018.01.010]
 WEI Zi-long,REN Li,SHA Long-gui,et al.Study on continuous intracranial pressure monitoring in treatment of spontaneous intracerebral hemorrhage[J].Journal of Clinical Neurosurgery,2018,15(01):42-45.[doi:10.3969/j.issn.1672-7770.2018.01.010]
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持续颅内压监测在自发性脑出血破入脑室治疗中的应用()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
15
期数:
2018年01期
页码:
42-45
栏目:
论著
出版日期:
2018-02-15

文章信息/Info

Title:
Study on continuous intracranial pressure monitoring in treatment of spontaneous intracerebral hemorrhage
作者:
魏子龙任力沙龙贵黄焕斌邢进
201399 上海市浦东医院,复旦大学附属浦东医院神经外科
Author(s):
WEI Zi-longREN LiSHA Long-guiet al.
Department of Neurosurgery,Shanghai Pudong Hospital,Fudan University Pudong Medical Center,Shanghai 201399,China
关键词:
颅内压监测自发性脑出血侧脑室穿刺引流
Keywords:
intracranial pressure monitoringspontaneous intracerebral hemorrhagelateral ventricle puncture drainage
分类号:
R651.1
DOI:
10.3969/j.issn.1672-7770.2018.01.010
文献标志码:
A
摘要:
目的 探讨持续颅内压(ICP)监测在自发性脑出血破入脑室治疗中的意义。方法 100例自发性脑出血破入脑室患者,其中50例患者行侧脑室穿刺引流加持续性ICP监测(ICP监测组),另50例患者单纯行侧脑室穿刺引流(对照组)。比较两组患者的预后、并发症的发生率、脱水剂用量及再出血发生率。结果 ICP监测组与对照组患者的预后比较,差异无统计学意义(P>0.05)。ICP监测组患者血电解质紊乱、肾功能损害的发生率及甘露醇使用量均明显少于对照组(P<0.05~0.01)。两组其他并发症及再出血的发生率之间比较,差异均无统计学意义(均P>0.05)。结论 持续ICP监测并不能改善自发性脑出血破入脑室患者的预后,但可以减少甘露醇的使用量及部分并发症的发生率;并能及时预警患者病情的变化。
Abstract:
Objective To investigate the significance of continuous intracranial pressure(ICP) monitoring in the treatment of spontaneous intracerebral hemorrhage(SICH) for patients.Methods Of 100 patients with SICH, 50 underwent lateral ventricle puncture drainage combined with continuous ICP monitoring in ICP monitoring group (n=50), other 50 were treated with lateral ventricle puncture drainage as control group (n=50).The overall prognosis,the incidence of complications,dehydration agent usage and rebleeding were compared.Results Compared to the ICP monitoring group and control group,there was no significant difference in overall survival (P>0.05).The electrolyte disorders,renal dysfunction and the per capita amount of mannitol in the ICP monitoring group were less than in the control group (P<0.05-0.01).There was no significant difference between the two groups in the other complications and rebleeding(all P>0.05).Rebleeding could be found timely through continuous ICP monitoring.Conclusion Continuous ICP monitoring could not improve the prognosis of patients with SICH into the ventricles of the brain,but could reduce the use of mannitol and the incidence of some complications,and timely warning of changes in the disease.

相似文献/References:

[1]程峰,张曙光,李晓良,等.颅内压监测在自发性脑出血术后的临床应用[J].临床神经外科杂志,2015,(06):457.
[2]孔杰,戎金花,颜骏,等.影响青年人自发性脑出血预后的相关因素分析[J].临床神经外科杂志,2016,(03):231.
 KONG Jie,RONG Jin-hua,YAN Jun,et al.Analysis of relevant factors to prognosis of spontaneous intracerebral hemorrhage in young adults[J].Journal of Clinical Neurosurgery,2016,(01):231.
[3]夏捷生,冯建飞,李巧玲,等.自发性脑出血破入脑室与否的预后比较分析[J].临床神经外科杂志,2019,16(5):369.[doi:10.3969/j.issn.1672-7770.2019.05.001]
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更新日期/Last Update: 1900-01-01