Melon E
Service d'anesthésie-réanimation, hôpital Henri-Mondor, Créteil, France.
Ann Fr Anesth Reanim. 1997;16(4):415-9. doi: 10.1016/s0750-7658(97)81473-6.
A main indication for intracranial pressure monitoring is severe head trauma, where it acts as a diagnostic, prognostic and therapeutic guide. Others indications for intracranial pressure monitoring are patients with CSF circulation disturbances, whatever the cause, and various pathologies inducing intracranial hypertension, such as encephalopathies. Intracranial pressure monitoring must be associated with the measurement of mean arterial pressure, arterial and jugular venous oxygen saturation and blood flow velocity in major intracranial arteries with transcranial Doppler sonography.
颅内压监测的主要适应证是严重颅脑外伤,在这种情况下它可作为诊断、预后评估及治疗的指导。颅内压监测的其他适应证包括脑脊液循环障碍患者(无论病因如何)以及各种导致颅内高压的病变,如脑病。颅内压监测必须与平均动脉压、动脉血氧饱和度和颈静脉血氧饱和度的测量以及经颅多普勒超声对颅内主要动脉血流速度的测量相结合。