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目的探讨颅内压监测在高血压脑出血立体定向穿刺术中的应用。方法 2011年1月至2013年12月,25例高血压脑出血患者在颅内压监测下行立体定向穿刺治疗,对患者资料进行回顾性分析。结果颅内压监测的时间为5~7d,平均(6.5±1.2)d。未发生颅内感染,无监测导管放置时引起的颅内血肿。出院后6个月ADL评分,Ⅰ级4例,Ⅱ级13例,Ⅲ级5例,Ⅳ级2例,Ⅴ级1例。结论在颅内压监测下行高血压脑出血立体定向穿刺治疗,可减少术后再出血,并可早期诊断和治疗术后并发症以及进展性颅内血肿,临床治疗效果满意。
Objective To investigate the application of intracranial pressure monitoring in stereotactic occlusion of hypertensive intracerebral hemorrhage. Methods From January 2011 to December 2013, 25 patients with hypertensive intracerebral hemorrhage underwent stereotactic puncture under the monitoring of intracranial pressure. The data of patients were retrospectively analyzed. Results The duration of intracranial pressure monitoring ranged from 5 days to 7 days (mean, 6.5 ± 1.2 days). No intracranial infection, no monitoring of intracranial hematoma caused by catheter placement. ADL score 6 months after discharge, Ⅰ grade in 4 cases, Ⅱ grade in 13 cases, Ⅲ grade in 5 cases, Ⅳ grade in 2 cases, Ⅴ grade in 1 case. Conclusion Intracranial pressure monitoring of hypertensive intracerebral hemorrhage stereotactic puncture can reduce postoperative hemorrhage, and early diagnosis and treatment of postoperative complications and progressive intracranial hematoma, clinical treatment with satisfactory results.