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[我们对颅脑损伤患者连续硬膜外颅内压测量的临床实用性评估]

[Our evaluation of clinical usefulness of continuous extradural measurement of intracranial pressure in patients with cranio-cerebral injuries].

作者信息

Słowik T, Slósarek J, Janicki W, Kojder I

出版信息

Neurol Neurochir Pol. 1983 Mar-Apr;17(2):229-37.

PMID:6633802
Abstract

Continuous measurements of intracranial, pressure were conducted by the extradural method in 40 patients with various types of skull trauma. A correlation was demonstrated between the value of this pressure and the clinical condition of the patient only with high values of the pressure, in which nearly always wave-like pressure changes were observed. The occurrence of wave-like changes was a more reliable sign of threatening cranial hypertension than the value of intracranial pressure. Continuous measurement of pressure during intravenous administration of glycerol demonstrated that a significant fall of pressure preceded the regression of clinical signs of intracranial hypertension.

摘要

对40例不同类型颅骨创伤患者采用硬膜外法进行颅内压连续测量。仅在颅内压值较高时,才显示出该压力值与患者临床状况之间的相关性,此时几乎总能观察到压力呈波浪状变化。与颅内压值相比,波浪状变化的出现是颅内高压更可靠的征兆。静脉注射甘油期间的压力连续测量表明,在颅内高压临床体征消退之前,压力有显著下降。

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