Role of invasive intracranial pressure monitoring in treatment of bilateral posttraumatic acute diffuse brain swelling
10.3760/cma.j.issn.1001-8050.2012.11.007
- VernacularTitle:有创颅内压监测在创伤性急性双侧半球弥漫性脑肿胀治疗中的作用
- Author:
Liansheng LONG
;
Zhicheng XIN
;
Weiming WANG
;
Zhaohui ZHAO
;
Xialiang LI
;
Jianzhong ZHANG
;
Chaochao JIANG
;
Qiang SU
;
Zhonghua WU
;
Yun CHENG
;
Hongmei ZHANG
;
Jiyao JIANG
- Publication Type:Journal Article
- Keywords:
Craniocerebral trauma;
Brain edema;
Intracranial pressure;
Monitoring,intraoperative
- From:
Chinese Journal of Trauma
2012;(11):984-987
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the instructive role and clinical effect of invasive intracranial pressure monitoring in treating bilateral posttraumatic acute diffuse brain swelling(PADBS).Methods A total of 52 consecutive patients with bilateral PADBS managed under invasive intracranial pressure monitoring between October 2009 and December 2010 were enrolled as the study group.Another 53 patients with bilateral PADBS managed with non-intracranial pressure monitoring from February 2007 to September 2009 were set as the control group.The clinical outcomes of the two groups were compared.Results The ratios of good recovery[Glasgow Outcome Scale(GOS)=5 points]and severe disability(GOS=3 points)were 59.6％(31/52)and 11.5％(6/52)respectively in the study group,but 35.9％(19/53)and 28.3％(15/53)respectively in the control group(P＜0.05).The death rates of the study and control groups were 5.8％(3/52)and 9.4％(5/53)respectively(P＞0.05),and the average hospital stay was(34.35±17.50)days and(42.43±22.17)days respectively(P＜0.05).Conclusion Durative monitoring of invasive intracranial pressure in treatment of bilateral PADBS can improve prognosis,shorten hospital stay and therefore is worthy of clinical application.
