Application of invasive intracranial pressure monitoring in treatment of traumatic brain injury
10.3760/cma.j.issn.1001-8050.2009.02.97
- VernacularTitle:有创颅内压监测在颅脑创伤救治中的应用
- Author:
Jiwei BAI
;
Jingsheng LI
;
Baiyun LIU
;
Xin WANG
- Publication Type:Journal Article
- Keywords:
Brain injuries;
Intracranial pressure;
Monitoring
- From:
Chinese Journal of Trauma
2009;25(4):317-320
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effect of invasive intracranial pressure (ICP) monitoring in treating traumatic brain injury (TBI).Methods A total of 116 patients with TBI (including 112 with severe TBI,3 with moderate TBI and 1 with slight TBI) were monitored by using invasive ICP monitoring device in Tiantan Hospital from July 2003 to December 2007.All patients underwent ICP monitoring within first 24 hours after admission and treated with corresponding therapy including drug therapy and surgical treatment.Results Of all,74 patients survived but 42 with severe TBI died.Of 75 patients with GCS 3-5,33 died,with morbidity rate of 44%.Of 37 patieats with GCS 6-8,nine died,with morbidity rate of 24%.Four patients with GCS 9-15 survived.Conclusions Continuous ICP monitoring can help timely understanding of ICP changes for early diagnosis and correct treatment of TBI and is useful for judgment of prognosis.Low GCS and high ICP are predictors for bad outcome.
