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[重度颅脑创伤颅内压长期持续随访的指征]

[Indications for the long-term continuous follow-up of intracranial pressure in severe craniocerebral trauma].

作者信息

Mukhametzhanov Kh, Thomas J, Iskhakov O S

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1990 May-Jun(3):17-9.

PMID:2168646
Abstract

The findings of clinical examination, laboratory tests, and diagnostic methods of examination were compared with the results of prolonged measurement of intracranial pressure (ICP) in 64 patients with a severe craniocerebral trauma. Seventy-four clinical and laboratory signs and the results of echoencephalography [correction of echoelectrography] and computed tomography were analysed and those found to be most informative on the basis of the "x-quadrant" criterion were distinguished. The distinguished signs accompanying ICP were rated in marks. A scale of hypertension was compiled according to the sum of the marks of these signs. This scale makes it possible to select patients for prolonged continuous ICP control.

摘要

对64例重型颅脑创伤患者的临床检查、实验室检查及诊断性检查结果与颅内压(ICP)长时间测量结果进行了比较。分析了74项临床和实验室指标以及脑回波描记术[脑回波描记术校正]和计算机断层扫描结果,并根据“x象限”标准找出最具信息量的指标。对伴随ICP出现的这些显著指标进行评分。根据这些指标的评分总和编制了一个高血压量表。该量表使选择需要长时间持续ICP监测的患者成为可能。

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