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目的探讨颅内压监测对颅内血肿术后治疗的指导意义。方法选取415例外伤性颅内血肿患者,在血肿清除术后持续动态监测颅内压和根据监测指导临床治疗,观察疗效。结果 415例患者在颅内压监测结果的指导下,294例正常或轻度增高者减少脱水剂用量,121例中重度增高者及时加大脱水剂用量,其中有42例术后实时监测颅内压发现患者颅压增高CT证实迟发血肿进而实施二次手术,取得良好疗效。结论颅内血肿清除术后持续动态颅内压监测,对及时发现术后血肿形成、指导脱水治疗有较高的临床应用价值。
Objective To explore the guiding significance of intracranial pressure monitoring for postoperative treatment of intracranial hematoma. Methods 415 cases of traumatic intracranial hematoma patients were selected, the intracranial pressure was monitored dynamically after hematoma removal and the curative effect was observed according to the clinical data. Results 415 patients under the guidance of intracranial pressure monitoring results, 294 cases of normal or mildly elevated reduce the amount of dehydration agent, 121 cases of moderate and severe increase in time and increase the amount of dehydrating agent, of which 42 cases of postoperative real-time monitoring of intracranial Pressure found in patients with increased intracranial pressure CT confirmed delayed hematoma and then the implementation of the second surgery and achieved good results. Conclusion Continuous intracranial pressure monitoring after intracranial hematoma removal is of great value in clinical application in detecting postoperative hematoma formation and guiding dehydration therapy.