Chinese Journal of Modern Operative Surgery  2017, Vol. 21 Issue (5): 395-397 DOI: 10.16260/j.cnki.1009-2188.2017.05.017 |
| Clinical Research |
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| Clinical Study on Noninvasive and Simple Invasive Intracranial Pressure Monitoring in Acute Traumatic Brain Swelling |
| ZHANG Jiaxing, XIAO Can, SHI Lei, LIU Yu, LUO Nenmiao, ZHAO Zhenyu, LI Jiang, CHEN Jing
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| Department of Neurosurgery, the 163 Hospital of PLA, Changsha 410003, Hunan, China |
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Abstract ObjectiveTo investigate the effect of flash visual evoked potential (FVEP) noninvasive intracranial pressure (ICP) monitoring combined with simple invasive ICP monitoring in the treatment of acute traumatic brain swelling.MethodsA lot of 39 cases suffered acute traumatic brain swelling carried out noninvasive and simple invasive ICP monitoring admitted from January 2010 to December 2014 were analyzed retrospectively. The GCS scored 3 to 5 in 8 cases, 6 to 8 in 17 cases and 9 to 12 in 14 cases. CT scanning showed midline shift <5 mm in 11, 5 to 10 mm in 10, >10 mm in 6 and bilateral diffuse cerebral swelling in 12 cases. According to initial ICP, all cases were divided into three types： 11 of mild intracranial hypertension type (ICP l5～25 mmHg), 13 of mid intracranial hypertension type (ICP 25～35 mmHg) and 15 of severe intracranial hypertension type (ICP>35 mmHg).ResultsThe eusemia rate of mild, mid and severe intracranial hypertension patients was 90.1% (10/11), 61.5% (8/13) and 20% (3/15), the unfavourable prognosis rate was 9.1％(1/11), 38.5%(5/13) and 80%(12/15); there was statistic differences between two groups (P＜0.05).ConclusionsThe initial ICP is correlated to prognosis in the acute traumatic brain swelling patients. The technique of FVEP noninvasive combined with simple invasive ICP monitoring is manipulative and practical, and can be popularized in basic hospital. The ICP monitoring combined with external ventricular drainage can play an important role in the treatment of acute traumatic brain swelling.
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Published: 25 May 2018
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Corresponding Authors:
CHEN Jing
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| ［1］ |
夏天， 董吉荣， 陈克非， 等. 创伤弥漫性脑肿胀患者脑室外引流术前后的CT灌注压变化［J］. 中华神经外科疾病研究杂志，2015，14（2）：130133.
|
| ［2］ |
张彦龙. 急性弥漫性脑肿胀的分型及救治［J］． 中国临床神经外科志, 2013，18（3）：171173.
|
| ［3］ |
张春雷， 王玉海， 蔡桑， 等． 外伤性急性弥漫性脑肿胀的临床分型及治疗［J］. 中华神经外科杂志，2012，10（1）:10541056.
|
| ［4］ |
罗新名， 高玉松， 张松坡， 等. 外伤性弥漫性脑肿胀术中脑膨出的防治体会［J］. 中国临床神经外科杂志，2013，18(11)：698699.
|
| ［5］ |
邓光策， 王岳华， 曾敏敏, 等. 双额颞部一次成型去大骨瓣减压治疗外伤性弥漫性脑肿胀［J］. 临床神经外科杂志，2015，12（4）:298300.
|
| ［6］ |
狄广福， 朱明峰， 徐善水. 闪光视觉诱发电位在颅脑损伤监测中的作用［J］. 临床神经外科杂志,2014，11（3）：234236.
|
| ［7］ |
张春雷, 王玉海, 何建青, 等. 弥漫性脑肿胀患者双侧开颅术中急性脑膨出的相关因素分析［J］. 中华神经外科杂志,2015，31（6）：614616.
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