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高血压脑出血术后有创颅内压监测的综述

A review of invasive intracranial pressure monitoring following surgery for hypertensive cerebral hemorrhage.

作者信息

Chen Fu, Zhang Shukui, Li Bingzhen, Zhang Jin, Ran Maoxin, Qi Bin

机构信息

Department of Neurosurgery, The First Hospital of Jilin University, Changchun, China.

Department of Neurosurgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.

出版信息

Front Neurol. 2023 Jul 4;14:1108722. doi: 10.3389/fneur.2023.1108722. eCollection 2023.

Abstract

Hypertensive cerebral hemorrhage, the most common prevalent of spontaneous cerebral hemorrhage, poses a significant threat to patient mortality and morbidity, while therapeutic options remain limited, making the disease a burden not only for patients' families but also a major challenge for national healthcare systems. The elevation of intracranial pressure subsequent to hypertensive cerebral hemorrhage is a critical contributor to mortality. However, it often manifests before the onset of clinical symptoms, which are typically atypical, leading to delayed treatment and irreversible consequences for the patient. Hence, early detection of intracranial pressure variations can aid in timely, efficient, and precise treatment, reducing patient mortality. Invasive intracranial pressure monitoring enables real-time, accurate monitoring of intracranial pressure changes, providing clinicians with therapeutic guidance and overcoming the limitations of empirical treatment. This article aims to review the use of invasive intracranial pressure monitoring in postoperative hypertensive cerebral hemorrhage and hopes to contribute to clinical and scientific research.

摘要

高血压性脑出血是自发性脑出血最常见的类型,对患者的死亡率和发病率构成重大威胁,而治疗选择仍然有限,这使得该疾病不仅给患者家庭带来负担,也给国家医疗系统带来重大挑战。高血压性脑出血后颅内压升高是导致死亡的关键因素。然而,它通常在临床症状出现之前就已表现出来,而临床症状通常不典型,导致治疗延迟,给患者带来不可逆转的后果。因此,早期检测颅内压变化有助于及时、高效、精准地进行治疗,降低患者死亡率。有创颅内压监测能够实时、准确地监测颅内压变化,为临床医生提供治疗指导,克服经验性治疗的局限性。本文旨在综述有创颅内压监测在高血压性脑出血术后的应用,希望能为临床和科研工作提供帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba23/10353852/4ddcdb455722/fneur-14-1108722-g001.jpg

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