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昏迷颅脑损伤患者的长期颅内压监测。一项批判性综述。

Long-term intracranial pressure monitoring in comatose patients suffering from head injuries. A critical survey.

作者信息

Papo I, Caruselli G

出版信息

Acta Neurochir (Wien). 1977;39(3-4):187-200. doi: 10.1007/BF01406729.

DOI:10.1007/BF01406729
PMID:602850
Abstract

On the basis of a series of 75 patients, the practical use of Icp continuous long-term recording in severe head injuries without mass lesions or remaining deeply comatose after surgical procedures is critically analyzed. ICP monitoring alone seems to be not essential for prognosis. Conversely it is of much greater use as a guide to management (respirator treatment, osmotics, CSF drainage). If the pros and cons of the procedure are carefully weighed, it would appear that, for the time being, ICP long-term monitoring is justified only in comatose patients on intensive care.

摘要

基于75例患者的系列研究,对颅内压(ICP)连续长期监测在无占位性病变的严重颅脑损伤或手术后仍深度昏迷患者中的实际应用进行了批判性分析。单独的ICP监测似乎对预后并非至关重要。相反,它作为管理指导(呼吸治疗、渗透性治疗、脑脊液引流)有更大的用途。如果仔细权衡该操作的利弊,目前看来,ICP长期监测仅在重症监护的昏迷患者中是合理的。

相似文献

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Long-term intracranial pressure monitoring in comatose patients suffering from head injuries. A critical survey.昏迷颅脑损伤患者的长期颅内压监测。一项批判性综述。
Acta Neurochir (Wien). 1977;39(3-4):187-200. doi: 10.1007/BF01406729.
2
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[Intracranial dynamics and monitoring as a guide to targetted treatment of intracranial pressure in head injuries with coma].[颅内动力学与监测作为昏迷性颅脑损伤颅内压靶向治疗的指导]
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Role of intracranial pressure monitoring in severely head-injured patients without signs of intracranial hypertension on initial computerized tomography.颅内压监测在初次计算机断层扫描无颅内高压迹象的重度颅脑损伤患者中的作用
J Neurosurg. 1994 Jan;80(1):46-50. doi: 10.3171/jns.1994.80.1.0046.

引用本文的文献

1
Intracranial pressure monitoring: fundamental considerations and rationale for monitoring.颅内压监测:监测的基本考量与理论依据
Neurocrit Care. 2014 Dec;21 Suppl 2:S64-84. doi: 10.1007/s12028-014-0048-y.
2
Intracranial hypertension in severe head injuries.
Acta Neurochir (Wien). 1980;52(3-4):249-63. doi: 10.1007/BF01402080.
3
The cerebral perfusion pressure. Problems of measurement and treatment after head injury.脑灌注压。颅脑损伤后的测量与治疗问题。
Neurosurg Rev. 1989;12 Suppl 1:382-5. doi: 10.1007/BF01790678.

本文引用的文献

1
Reduction of increased intracranial pressure by hyperventilation. A therapeutic aid in neurological surgery.通过过度换气降低颅内压升高。神经外科手术中的一种治疗辅助手段。
Acta Psychiatr Scand Suppl. 1959;34(139):1-64.
2
Continuous recording and control of ventricular fluid pressure in neurosurgical practice.神经外科手术中脑室液压力的连续记录与控制。
Acta Psychiatr Scand Suppl. 1960;36(149):1-193.
3
Continuous recording of the ventricular-fluid pressure in patients with severe acute traumatic brain injury. A preliminary report.重度急性创伤性脑损伤患者脑室液压力的连续记录。初步报告。
J Neurosurg. 1965 Jun;22(6):581-90. doi: 10.3171/jns.1965.22.6.0581.
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Prognosis for patients with severe brain injuries.重度脑损伤患者的预后。
Br Med J. 1971 Aug 14;3(5771):404-7. doi: 10.1136/bmj.3.5771.404.
5
Neurosurgical hyponatremia: the role of inappropriate antidiuresis.神经外科低钠血症:抗利尿激素分泌失调综合征的作用
J Neurosurg. 1971 Apr;34(4):506-14. doi: 10.3171/jns.1971.34.4.0506.
6
Controlled respiration in the management of patients with traumatic brain injuries.创伤性脑损伤患者管理中的控制呼吸
Acta Anaesthesiol Scand. 1971;15(3):193-208. doi: 10.1111/j.1399-6576.1971.tb05461.x.
7
The place of continuous intracranial pressure monitoring in neurosurgical practice.
Acta Neurochir (Wien). 1973;29(1):53-63. doi: 10.1007/BF01414616.
8
Evaluation of hyperventilation in treatment of head injuries.过度换气在颅脑损伤治疗中的评估
Br Med J. 1973 Dec 15;4(5893):634-40. doi: 10.1136/bmj.4.5893.634.
9
[Recording of intracranial pressure in the supervision of head injuries in the acute period. Comments on our 1st results. Apropos of 49 cases].[急性颅脑损伤监护中颅内压的记录。对我们首批结果的评论。基于49例病例]
Neurochirurgie. 1973 Mar-Apr:125-34.
10
Regional cerebral blood flow, intracranial pressure, and brain metabolism in comatose patients.昏迷患者的局部脑血流量、颅内压和脑代谢
J Neurosurg. 1973 Feb;38(2):131-44. doi: 10.3171/jns.1973.38.2.0131.