Luca Loredana, Rogobete Alexandru Florin, Bedreag Ovidiu Horea, Sarandan Mirela, Cradigati Carmen Alina, Papurica Marius, Gruneantu Anelore, Patrut Raluca, Vernic Corina, Dumbuleu Corina Maria, Sandesc Dorel
Clinic of Anaesthesia and Intensive Care, Emergency County Hospital "Pius Brinzeu", Timisoara, Romania.
Clinic of Anaesthesia and Intensive Care "Casa Austria", Emergency County Hospital "Pius Brinzeu", Timisoara, Romania.
Turk J Anaesthesiol Reanim. 2015 Dec;43(6):412-7. doi: 10.5152/TJAR.2015.56933. Epub 2015 Dec 1.
Trauma patient requires a complex therapeutic management because of multiple severe injuries or secondary complications. The most significant injury found in patients with trauma is head injury, which has the greatest impact on mortality. Intracranial pressure (ICP) monitoring is required in severe traumatic head injury because it optimises treatment based on ICP values and cerebral perfusion pressure (CPP).
From a total of 64 patients admitted in the intensive care unit (ICU) 'Casa Austria', from the Polytraumatology Clinic of the Emergency County Hospital "Pius Brinzeu" Timisoara, Romania, between January 2014 and December 2014; only patients who underwent ICP monitoring (n=10) were analysed. The study population was divided into several categories depending on the time passed since trauma to the time of installation of ICP monitoring (<18 h, 19-24 h and >24 h). Comparisons were made in terms of the number of days admitted in the ICU and mortality between patients with head injury who benefited and those who did not benefit from ICP monitoring.
The results show the positive influence of ICP monitoring on the number of admission days in ICU because of the possibility that the number of admission days to augment therapeutic effects in patients who benefited from ICP monitoring reduces by 1.93 days compared with those who did not undergo ICP monitoring.
ICP monitoring and optimizing therapy according to the ICP and CPP has significant influence on the rate of survival. ICP monitoring is necessary in all patients with head trauma injury according to recent guidelines. The main therapeutic goal in the management of the trauma patient with head injury is to minimize the destructive effects of the associated side effects.
创伤患者由于多处重伤或继发并发症需要复杂的治疗管理。创伤患者中最严重的损伤是头部损伤，其对死亡率的影响最大。重度创伤性脑损伤需要进行颅内压（ICP）监测，因为它能根据ICP值和脑灌注压（CPP）优化治疗。
对2014年1月至2014年12月期间罗马尼亚蒂米什瓦拉“皮乌斯·布林泽乌”县急诊医院多创伤科诊所“奥地利之家”重症监护病房（ICU）收治的64例患者进行研究；仅分析了接受ICP监测的患者（n = 10）。根据从创伤发生到安装ICP监测的时间（<18小时、19 - 24小时和>24小时）将研究人群分为几类。对受益于和未受益于ICP监测的头部受伤患者在ICU的住院天数和死亡率方面进行了比较。
结果显示ICP监测对ICU住院天数有积极影响，因为受益于ICP监测的患者，其住院天数可能增加，与未接受ICP监测的患者相比，治疗效果使住院天数减少了1.93天。
根据ICP和CPP进行ICP监测和优化治疗对生存率有显著影响。根据最新指南，所有头部创伤患者都有必要进行ICP监测。头部受伤的创伤患者管理的主要治疗目标是尽量减少相关副作用的破坏作用。
