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颅内压监测在微创治疗脑出血手术中的作用

The Role of ICP Monitoring in Minimally Invasive Surgery for the Management of Intracerebral Hemorrhage.

作者信息

Zhang Ge, Li Yunjie, Chen Danyang, Wu Zhuojin, Pan Chao, Zhang Ping, Zhao Xingwei, Tao Bo, Ding Han, Meng Cai, Chen Diansheng, Liu Wenjie, Tang Zhouping

机构信息

Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

State Key Laboratory of Digital Manufacturing Equipment and Technology, School of Mechanical Science and Engineering, Huazhong University of Science and Technology, Wuhan, 430074, Hubei, China.

出版信息

Transl Stroke Res. 2025 Apr;16(2):547-556. doi: 10.1007/s12975-023-01219-4. Epub 2023 Dec 29.

Abstract

Intracerebral hemorrhage (ICH) is the second major stroke type, with high incidence, high disability rate, and high mortality. At present, there is no effective and reliable treatment for ICH. As a result, most patients have a poor prognosis. Minimally invasive surgery (MIS) is the fastest treatment method to remove hematoma, which is characterized by less trauma and easy operation. Some studies have confirmed the safety of MIS, but there are still no reports showing that it can significantly improve the functional outcome of ICH patients. Intracranial pressure (ICP) monitoring is considered to be an important part of successful treatment in traumatic brain diseases. By monitoring ICP in real time, keeping stable ICP could help patients with craniocerebral injury get a good prognosis. In the course of MIS treatment of ICH patients, keeping ICP stable may also promote patient recovery. In this review, we will take ICP monitoring as the starting point for an in-depth discussion.

摘要

脑出血(ICH)是第二大主要卒中类型,具有高发病率、高致残率和高死亡率。目前,脑出血尚无有效且可靠的治疗方法。因此,大多数患者预后较差。微创手术(MIS)是清除血肿最快的治疗方法,其特点是创伤小、操作简便。一些研究已证实微创手术的安全性,但仍无报告表明其能显著改善脑出血患者的功能结局。颅内压(ICP)监测被认为是颅脑疾病成功治疗的重要组成部分。通过实时监测颅内压,保持颅内压稳定有助于颅脑损伤患者获得良好预后。在脑出血患者的微创手术治疗过程中,保持颅内压稳定也可能促进患者康复。在本综述中,我们将以颅内压监测为切入点进行深入探讨。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a315/11976795/7a15bb5fa66e/12975_2023_1219_Fig1_HTML.jpg

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