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张桂运,海舰,詹青.颅内压监测在硬膜外血肿合并脑挫裂伤患者中的应用[J].同济大学学报（医学版）,2012,33(3):85-86. [点击复制]
ZHANG Gui-yun,HAI Jian,ZHAN Qing.Application of intracranial pressure monitoring in patients of epidural hematoma combined with brain contusion[J].同济大学学报（医学版）,2012,33(3):85-86. [点击复制]

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颅内压监测在硬膜外血肿合并脑挫裂伤患者中的应用
张桂运¹,海舰¹,詹青²
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(1. 同济大学附属同济医院神经外科,上海 200065;2. 同济大学附属同济医院神经内科,上海 200065)

摘要:

目的探讨有创性颅内压监测在硬膜外血肿合并脑挫裂伤患者中的应用价值,指导重症监护与治疗。方法回顾性分析两组硬膜外血肿合并脑挫裂伤患者,观察颅内压监测时硬膜外血肿清除后迟发性颅内血肿的预警价值与患者转归。结果两组中迟发性血肿的发病率未见统计学差异,有创颅内压监测组患者的GOS评分优于非监测组,平均住院日明显缩短,而人均住院费用差异无显著性。结论有创性颅内压监测对硬膜外血肿合并脑挫裂伤患者就迟发性血肿的发生与否具有早期预警价值,为采取恰当的后续治疗措施提供依据。

关键词: 颅内压监测硬膜外血肿脑挫裂伤

DOI：10.3969/j.issn1008-0392.2012.03.020

基金项目:

Application of intracranial pressure monitoring in patients of epidural hematoma combined with brain contusion

ZHANG Gui-yun¹,HAI Jian¹,ZHAN Qing²

(1.Dept.of Neurosurgery,Tongji Hospital,Tongji University,Shanghai 200065,China;2.Dept.of Neurology,Tongji Hospital,Tongji University,Shanghai 200065,China)

Abstract:

Objective To evaluate the application of invasive intracranial pressure(ICP)monitoring in epidural hematoma combined with brain contusion.Methods Thirty eight patients of epidural hematoma combined with brain contusion were treated in Tongji Hospital from May 2008 to August 2011,among whom 20 were with invasive ICP monitoring(group A)and 18 without ICP monitoring (group B).The alarming value of ICP and the outcomes of patients in two groups were retrospectively analyzed.Results There were no differences in delayed hematoma and hospital expenses between two groups,but the GOS scores of ICP monitoring group were higher than those in without ICP monitoring group,while the length of stay was shorter.Conclusion Invasive ICP monitoring is valuable for early alarming of delayed hematoma and facilitating to provide proper management.

Key words: intracranial pressure monitoring epidural hematoma brain contusion