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颅内压监测:光纤监测器与脑室导管的比较

Intracranial pressure monitoring: fiberoptic monitor compared with the ventricular catheter.

作者信息

Schickner D J, Young R F

机构信息

Division of Neurosurgery, University of California, Irvine Medical Center, Orange 92668.

出版信息

Surg Neurol. 1992 Apr;37(4):251-4. doi: 10.1016/0090-3019(92)90147-f.

Abstract

Among the frequently utilized intracranial pressure (ICP) monitoring devices employed in neurosurgical practice is the Camino fiberoptic monitor. Several recent studies have described results with the Camino monitor and compared it with other forms of ICP monitoring with varying results and conclusions. The aim of this study was to compare simultaneous ICP readings from the Camino fiberoptic monitor placed in the brain parenchyma and from a ventricular catheter. ICP values were recorded for up to 118 hours in 10 patients. It was determined that the Camino ICP measurements exceeded those of a ventricular catheter in 66% of total measurements for the 10 patients. The mean ICP difference between the Camino fiberoptic system and the ventricular catheter was 9.2 +/- 7.8 mm Hg. This result suggests that the correlation between intraparenchymal pressure measured by the Camino fiberoptic monitor and the intraventricular pressure is not as close as previously described.

摘要

在神经外科实践中常用的颅内压(ICP)监测设备中,有一种是Camino光纤监测仪。最近的几项研究描述了使用Camino监测仪的结果,并将其与其他形式的ICP监测进行了比较,结果和结论各不相同。本研究的目的是比较置于脑实质内的Camino光纤监测仪和脑室导管同时测得的ICP读数。对10名患者的ICP值进行了长达118小时的记录。结果发现,在这10名患者的全部测量中,66%的情况下Camino测得的ICP值超过了脑室导管测得的值。Camino光纤系统与脑室导管之间的平均ICP差值为9.2±7.8毫米汞柱。这一结果表明,Camino光纤监测仪测得的脑实质内压力与脑室内压力之间的相关性并不像之前描述的那么紧密。

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