持续有创颅内压监测在创伤性脑损伤患儿中的应用价值

舒艳婷; 许峰; 唐林林; 范京川; 刘成军

doi:10.13406/j.cnki.cyxb.001102

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持续有创颅内压监测在创伤性脑损伤患儿中的应用价值

临床研究 | 更新时间：2024-01-17

- 持续有创颅内压监测在创伤性脑损伤患儿中的应用价值
- Application of intracranial pressure monitoring in children with traumatic brain injury
- 重庆医科大学学报 2016年41卷第12期页码：1280-1283
- 作者机构：
  
  1. 重庆医科大学附属大学城医院妇产科
  2. 重庆医科大学附属儿童医院重症医学科
  3. 重庆医科大学附属儿童医院麻醉科、儿童发育疾病研究教育部重点实验室、儿科学重庆市重点实验室
  4. 重庆医科大学生命科学研究院
- 作者简介：
- 基金信息：
  
  重庆市教育委员会技术研究资助项目（编号:KJ110315）
- DOI：10.13406/j.cnki.cyxb.001102
  中图分类号： R726.5
- 纸质出版日期：2016，
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[1]舒艳婷,许峰,唐林林,范京川,刘成军.持续有创颅内压监测在创伤性脑损伤患儿中的应用价值[J].重庆医科大学学报,2016,41(12):1280-1283.

Shu Yanting, Xu Feng, Tang Linlin, et al. Application of intracranial pressure monitoring in children with traumatic brain injury[J]. Journal of Chongqing Medical University, 2016,41(12):1280-1283.
[1]舒艳婷,许峰,唐林林,范京川,刘成军.持续有创颅内压监测在创伤性脑损伤患儿中的应用价值[J].重庆医科大学学报,2016,41(12):1280-1283. DOI： 10.13406/j.cnki.cyxb.001102.

Shu Yanting, Xu Feng, Tang Linlin, et al. Application of intracranial pressure monitoring in children with traumatic brain injury[J]. Journal of Chongqing Medical University, 2016,41(12):1280-1283. DOI： 10.13406/j.cnki.cyxb.001102.

摘要

目的:回顾性分析持续有创颅内压（intracranial pressure

ICP）监测对儿童重型颅脑创伤患者预后转归的影响。方法:回顾性分析重庆医科大学附属儿童医院收治的80例颅脑损伤患者的临床资料

其中监测组50例行有创颅内压监测

非监测组30例未行颅内压监测

比较2组的临床疗效及预后。结果:通过监测组（50例）与非监测组（30例）比较

监测组死亡率明显低于非监测组

证明通过ICP监测能有效控制死亡率。而通过预后评分比较得出:ICP监测组预后明显较非监测组好。结论:对于创伤性脑损伤的儿童患者

持续有创ICP监测有助于客观评价颅内压严重程度

及早发现病情变化

及时指导治疗

并有助于评估预后。

Abstract

Objective:To retrospectively analyze the impact of continuous invasive intracranial pressure(ICP)monitoring on the prognosis of children with severe traumatic brain injury. Methods:The clinical data of 80 children with severe traumatic brain injury from the Children’s Hospital of Chongqing Medical University were retrospectively analyzed. Fifty children with severe traumatic brain injury after surgery were treated with continuous invasive ICP monitoring while 30 children with severe traumatic brain injury were observed without continuous invasive ICP monitoring. According to prognostic assessment criteria(discharge mortality;Glasgow outcome scale

GOS)

the effects were evaluated. Results :The mortality of ICP monitoring group was obviously lower than that of contrast group

indicating that the ICP monitoring can effectively control mortality. Better prognosis was observed in ICP monitoring group than in contrast group according to GOS. Conclusion:For children with severe head trauma

continuous invasive ICP monitoring is helpful in objective assessment of intracranial pressure severity

early detection of condition changes

timely guidance for treatment

and assessment of prognosis.

关键词

儿童创伤性脑外伤颅内压监测

Keywords

childrentraumatic brain injuryintracranial pressure monitoring

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