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目的探讨颅内压持续动态监护对重型颅脑创伤救治的指导意见。方法分别采用脑室内及脑实质内ICP监护法,对1 029例sTBI患者进行ICP持续动态监护,观察ICP与患者生命体征、临床表现和预后的关系,分析其对脑室外引流及其他降颅压治疗的指导作用。结果 ICP持续动态监护未并发严重颅内感染及出血,脑室外引流对持续ICP增高者有显著的治疗作用。结论 ICP持续动态监护安全、易行,其有助于sTBI患者病情变化的及时、正确判断,能为临床医生制定治疗方案及预后患者评估提供重要的参考依据。
Objective To explore the guidance of continuous dynamic monitoring of intracranial pressure on the treatment of severe traumatic brain injury. Methods The intracranial and intraparenchymal ICP methods were used to monitor the dynamic changes of vital signs, clinical manifestations and prognosis of 1029 patients with sTBI. The relationship between ICP and other patients with intracranial drainage and other intracranial pressure The guiding role of treatment. Results ICP continuous dynamic monitoring without serious intracranial infection and bleeding, cerebral ventricular drainage has a significant therapeutic effect on persistent ICP increased. Conclusion Continuous dynamic monitoring of ICP is safe and easy to perform. It is helpful to timely and correctly judge the changes of patients with sTBI. It can provide an important reference for clinicians to formulate treatment plans and prognosis patients.