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目的探讨双额叶脑挫裂伤早期行脑室穿刺外引流结合颅内压监测治疗的护理体会。方法对我院近三年来治疗的28例双额叶脑挫裂伤临床资料进行回顾分析。结果 28例均行脑室型颅内压探头植入术,成功治愈18例;监测过程中因持续颅内压>25 mm Hg,最终行开颅手术10例。伤后6个月GOS评分判断预后,恢复良好25例,轻残2例,重残1例。结论双额叶脑挫裂伤患者早期实施脑室穿刺外引流结合颅内压监测有利于观察病情,预防脑中心疝发生,可以更准确的掌握手术指征,提高救治成功率。
Objective To investigate the nursing of early treatment of double frontal lobe contusion and laceration with intraventricular catheterization and intracranial pressure monitoring. Methods The clinical data of 28 patients with double frontal lobe contusion and laceration treated in the past three years in our hospital were retrospectively analyzed. Results All 28 cases underwent intracranial intracranial pressure (ICVS) probe implantation, and 18 cases were successfully cured. During the monitoring period, intracranial pressure was increased to> 25 mm Hg. Ten patients underwent craniotomy. GOS score 6 months after injury, prognosis, good recovery in 25 cases, 2 cases of mild residual disability in 1 case. Conclusions Early double ventricular contusion and laceration in patients with ventricular extradural drainage combined with intracranial pressure monitoring is conducive to observe the condition, prevent the occurrence of central hernia, can more accurately grasp the surgical indications and improve the success rate of treatment.