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持续颅内压监测在双侧额叶脑挫裂伤中的临床应用 预览

Clinical application of continuous intracranial pressure monitoring in bilateral frontal lobe cerebral contusion
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摘要 目的评估持续颅内压监测在双侧额叶脑挫裂伤中的临床价值。方法选择2016年10月~2018年1月在武汉科技大学附属天佑医院神经外科住院的11例均行颅内压监测的双侧额叶脑挫裂伤患者临床资料进行回顾性分析。所有患者采用保守或手术治疗,同时对患者3个月格拉斯哥恢复评分(GOS)评估预后。结果 3例患者保守治疗;8例行双侧去骨瓣减压术+脑挫伤灶清除术;3个月时进行GOS评估,7例恢复良好,1例中残,1例重残,死亡2例。结论颅内压监测可以为患者保守治疗提供安全保障,同时在患者病情变化时,为我们提供最佳手术时机,从而改善患者预后。 Objective To evaluate the clinical value of continuous intracranial pressure monitoring in bilateral frontal lobe cerebral contusion. Methods Clinical data of 11 patients with bilateral frontal lobe cerebral contusion who were hospitalized and underwent intracranial pressure monitoring in department of neurosurgery of Tianyou Hospital Affiliated to Wuhan University of Science and Technology from October 2016 to January 2018 were retrospectively analyzed.All patients were given conservative or surgical treatment.In addition,Glasgow Outcome Scale(GOS) scores of patients in three months were used to evaluate prognosis. Results 3 patients underwent conservative treatment and 8 patients underwent decompressive craniectomy combined with brain contusion removal.After three months,GOS evaluation showed that there were 7 cases of good recovery,1 case of moderate disability,1 case of severe disability and 2 cases of deaths. Conclusion Intracranial pressure monitoring can provide safe guarantees for patients with conservative treatment and provide us with the best time for surgery when patients’ conditions change,so as to improve the prognosis of patients.
作者 金胜昔 郐国虎 周游 陈勇 刘磊 JIN Shengxi;KUAI Guohu;ZHOU You;CHEN Yong;LIU Lei(Department of Neurosurgery,Tianyou Hospital Affiliated to Wuhan University of Science and Technology,Wuhan 430064,China)
出处 《中国医药科学》 2019年第7期255-257,共3页 China medicine and pharmacy
关键词 颅内压监测 脑挫裂伤 格拉斯哥评分 预后 Intracranial pressure monitoring Brain contusion GOS Prognosis
作者简介 通讯作者:郐国虎.
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