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目的探讨脑室内颅内压持续监测与阶梯式治疗重型颅脑外伤的临床效果。方法重型颅脑外伤患者74例,均进行Spiegelberg脑室探头置入颅内压监测术。根据患者颅内压情况给予相应的阶梯式治疗,观察颅内压控制以及维持脑灌注压的效果。结果本组74例患者中,预后良好55.41%(41/74),中残9.46%(7/74),重残18.92%(14/74),植物状态8.11%(6/74),死亡8.11%(6/74)。结论对重型颅脑外伤患者进行脑室内颅内压监测,并配合阶梯式治疗,能够有效控制颅内压,维持脑灌注压,对降低重型颅脑外伤患者的致残率及致死率均有着较高的临床意义。
Objective To investigate the clinical effect of continuous intracranial pressure monitoring and stepwise treatment of severe craniocerebral trauma. Methods 74 patients with severe craniocerebral trauma were undergone intracranial pressure monitoring with Spiegelberg ventricular probe. According to patients with intracranial pressure to give the corresponding ladder treatment, observation of intracranial pressure control and maintain the effect of cerebral perfusion pressure. Results Among 74 patients, the prognosis was 55.41% (41/74), 9.46% (7/74) in severe residual disability, 18.92% (14/74) severely disabled, 8.11% (6/74) in vegetative state and 8.11 % (6/74). Conclusion Intracranial intracranial pressure monitoring in patients with severe craniocerebral trauma combined with stepwise treatment can effectively control the intracranial pressure and maintain cerebral perfusion pressure, which has a significant impact on reducing the morbidity and mortality of patients with severe traumatic brain injury High clinical significance.