摘要
研究颅内压（ＩＣＰ）和脑灌注压（ＣＰＰ）在重型颅脑损伤中的临床应用价值。方法对５０例重型颅脑损伤病人（ＧＣＳ３～８分）进行ＩＣＰ与ＣＰＰ连续监测并与５０例伤情基本相似的非监护组病人对比研究。结果监护组能根据ＩＣＰ和ＣＰＰ变化及时行正确治疗，非监护组仅按常规治疗，两组病死率分别为１４％和２８％（Ｐ＜０．０１），痊愈和生活自理者分别占７４％和５０％（Ｐ＜０．０１）。结论重型颅脑损伤病人行连续ＩＣＰ与ＣＰＰ监护是早期诊断和治疗的重要保证。
Objective In order to study the clinical value of intracranial pressure (ICP) and cerebral perfusion pressure (CPP) applied in severe brain injury. Methods The treatment results of two groups of patients were compared. Group Ⅰ included 50 cases of severe brain injury with GCS 3-8, on whom continuous ICP and CPP monitoring was performed and group Ⅱ included 50 cases of similar patients, on whom no continuous intracranial pressure monitoring was performed. Results After adequat treatment according to change of ICP and CPP, patients in group I had good results, and the mortality was 14%. The good recovery and moderately disabled was 74%. The patients in group Ⅱ received the routine treatment based on clinical observations,but had relatively worse results, the mortality was up to 28%. The good recovery and moderately disabled was 50%. Conclusions Continuous ICP and CPP monitoring for severe brain injury patients should be performed, this will be helpful for early diagnosis and proper treatment.
出处
《中国神经精神疾病杂志》
CAS
CSCD
北大核心
1996年第6期324-326,共3页
Chinese Journal of Nervous and Mental Diseases
关键词
颅内压
脑灌注压
颅脑损伤
监护
Intracranial pressure Cerebral perfusion pressure Severe brain injury Monitoring
