Application experience of ventricular intracranial pressure monitoring in the treatment of traumatic multiple intracranial hematoma
10.3760/cma.j.cn115455-20220324-00215
- VernacularTitle:脑室型颅内压监测在创伤性多发颅内血肿治疗中的应用体会
- Author:
Dongyuan LIU
1
;
Hao WANG
;
Ziming HOU
;
Jun YANG
;
Changjiang WANG
;
Hongbing ZHANG
Author Information
1. 首都医科大学附属北京潞河医院神经外科，北京 101149
- Keywords:
Intracranial pressure;
Intracranial hemorrhage, traumatic;
Prognosis
- From:
Chinese Journal of Postgraduates of Medicine
2022;45(7):639-642
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the significance of ventricular intracranial pressure monitoring in the treatment of traumatic multiple intracranial hematoma (TMIH).Methods:The clinical data of 14 TMIH patients treated with ventricular intracranial pressure monitoring from January 2016 to August 2021 in Beijing Luhe Hospital, Capital Medical University were analyzed retrospectively. The patients were followed up 6 months after injury, and the Glasgow outcome score (GOS) was assessed.Results:All the 14 patients successfully completed ventricular intracranial pressure probe placement. Among them, 8 patients recovered well after continuous monitoring of ventricular intracranial pressure and continuous cerebrospinal fluid drainage. Their ventricular intracranial pressure probe was placed for 5 to 10 (7.3 ± 2.2) d, with no intracranial infection occurred; and their GOS was 5 scores 6-month follow-up after injury. Six cases underwent craniotomy for hematoma removal due to the expansion of intracranial hematoma or aggravation of edema, and decompressive craniectomy was performed during the operation; 6-month follow-up after injury, GOS of 5 scores was in 3 cases, 4 scores in 2 cases, 3 scores in 1 case.Conclusions:The condition of TMIH patients is complex and changeable, and ventricular intracranial pressure monitoring can improve the prognosis of TMIH patients.
