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[重型颅脑损伤患者颅内压监测结果]

[Results of monitoring intracranial pressure in patients with severe head injury].

作者信息

Gobiet W

出版信息

Anaesthesist. 1977 Apr;26(4):187-95.

PMID:871202
Abstract

Intracranial pressure (ICP) was monitored in 100 patients with severe head injury. In comparison to intraventricular pressure epidural measurement gives reliable values with less risk for the patients. There are no firm values for the onset and development of post traumatic brain oedema. In most cases clinical findings allowed no conclusions as to the height of ICP. On the other hand the effects of diuretic agents varied so much that exact oedema therapy is only possible after observation of the values of ICP monitoring. Combined use of ICP monitoring and high doses of dexamethasone reduced mortality significantly.

摘要

对100例重型颅脑损伤患者进行了颅内压(ICP)监测。与脑室内压相比,硬膜外测量能提供可靠的值,且对患者的风险较小。创伤后脑水肿的发生和发展没有确切的值。在大多数情况下,临床检查结果无法得出关于ICP高度的结论。另一方面,利尿剂的效果差异很大,以至于只有在观察ICP监测值后才能进行精确的水肿治疗。ICP监测与高剂量地塞米松联合使用可显著降低死亡率。

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