Clinical application of ventricular intracranial pressure monitoring in severe craniocerebral trauma
10.3760/cma.j.issn.1001-8050.2013.02.004
- VernacularTitle:脑室型颅内压监测在特重型颅脑损伤中的临床应用
- Author:
Qibing HUANG
;
Yuan ZHANG
;
Chengming SONG
;
Yuhang SU
;
Zeli ZHANG
;
Guanghui WANG
- Publication Type:Journal Article
- Keywords:
Craniocerebral trauma;
Intracranial pressure;
Prognosis
- From:
Chinese Journal of Trauma
2013;(2):107-110
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of ventricular intracranial pressure monitoring in treatment of severe craniocerebral trauma with high intracranial pressure.Methods A retrospective analysis was conducted on forty cases of severe craniocerebral trauma with GCS score of 3-5 undergone bilateral decompressive craniectomy from October 2010 to January 2012.The patients were divided into three groups:Group A (12 cases received craniotomy after the placement of ventricular intracranial pressure probe) ; Group B (15 cases had craniotomy ahead of the probe placement) ; control group (13 cases had probe placement alone).Intracranial pressure control,dose and duration of administration of dehydrator and prognosis were compared among groups.Results Groups A and B showed a better result in aspects of controlling intracranial pressure within 15 mm Hg,dose and duration of mannitol treatment,and prognosis,as compared with control group (P ＜ 0.05).Furthermore,Group A had seven cases of severe disability or in vegetable state,but only three cases in Group B (P ＜ 0.05).Conclusion Ventricular intracranial pressure monitoring can effectively reduce intracranial pressure,raise treatment success rate and decline the use of mannitol in management of severe craniocerebral trauma.
