颅内压监测装置在动脉瘤出血破入脑室病人中的应用

张风林; 徐小龙; 崔勇; 鲍晶; 应奇

doi:10.13898/j.cnki.issn.1000-2200.2019.08.025

颅内压监测装置在动脉瘤出血破入脑室病人中的应用

Application of the intracranial pressure monitoring device in patients with intracranial aneurysm hemorrhaging into the ventricle

摘要

摘要:
目的探讨动脉瘤破裂出血破入脑室病人应用颅内压监测装置的可行性。
方法回顾性分析23例动脉瘤出血破入脑室病人的临床特点、并发症及预后。
结果病人根据HUNT-HESS分级分为3组，初始颅内压平均28.52 mmHg。术后有3例病人发生颅内感染，有2例病人发生动脉瘤破裂再出血，有4例病人发生脑积水。颅内压装置放置时间3~12 d，平均6.87 d。出院时HUNT-HESS分级各级的格拉斯哥预后评分为Ⅱ级5.00分，Ⅲ级3.33分，Ⅳ级2.44分，各级间格拉斯哥预后评分差异有统计学意义（P＜0.01）。
结论应用颅内压监测装置于动脉瘤破裂出血破入脑室病人，有助于实时监测病人颅内压，治疗过程顺利，病人预后评分较高。

Abstract:
ObjectiveTo investigate the feasibility of the application of intracranial pressure monitoring device in patients with intracranial aneurysm hemorrhaging into the ventricle.
MethodsThe clinical characteristics, complications and prognosis in 23 patients with intracranial aneurysm hemorrhaging into the ventricle were retrospectively analyzed.
ResultsAll patients were divided into three groups according to the HUNT-HESS classification.The average initial intracranial pressure was 28.52 mmHg.Postoperative intracranial infection occurred in 3 cases, the aneurysm rupture rebleeding in 2 cases were identified, and the postoperative hydrocephalus in 4 cases were found.The intracranial pressure device was implanted for 3 to 12 days(mean 6.87 days).At discharge, the GOS scores of grade Ⅱ, Ⅲ and Ⅳ HUNT-HESS were 5.00, 3.33 and 2.44 points, respectively.The differences of GCS scores in different grades were statistically significant(P < 0.01).
ConclusionsThe application of intracranial pressure monitoring device in patients with intracranial aneurysm hemorrhaging into the ventricle can help to monitor the intracranial pressure in real-time, and ensure the smooth treatment course and better prognosis.

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