持续颅内压监护在丘脑出血破入脑室治疗中的应用

摘要

[ Abstract] Objective To discuss the role of intracranial pressure monitoring on patients of thalsmic hemorrhage break into ventriculus.Methods 120 patients of thalamic hemorrhage broken into ventricle was collected,and prognosis between the intracranial pressure monitoring group and non-monitoring group were compared. Rseults The mortality of the intracranial pressure monitoring group and both comparative difference was statistically significant(P<0.05).Conclusion The application of intracranial pressure monitoring lateral ventricle drainage in hypertensive thalamic hemorrhage into the ventricles,which can directly and correctly observe the change of the intracranial pressure,and can clear brain eddma fluid avoiding the overuse of dehydrating agent,and reducing the secondary brain damage, so it can reduce the probability of rebleeding and mortality rates, and improve patient outcomes.It is an ideal monitor method.%目的：探讨颅内压监护在丘脑出血破入脑室治疗中的作用。方法收集120例丘脑出血破入脑室患者的临床资料，比较应用颅内压监护组与未应用颅内压监护组患者预后。结果颅内压监护组的预后优于无颅内压监护组，两者比较差异有统计学意义（P＜0．05）。结论颅内压监测下侧脑室外引流治疗高血压性丘脑出血破入脑室可以更加直观、更准确地了解患者颅内压的变化情况，可廓清血性脑脊液，避免了脱水剂的过度应用，减少脑的继发性损害，从而减少病残率与病死率，改善了患者的预后，是理想的监测方法。