天津医药 ›› 2017, Vol. 45 ›› Issue (8): 803-805.doi: 10.11958/20170664

• 专题 颅脑神经创伤 • 上一篇    下一篇

颅内压监测在颅脑创伤临床管理中的应用

高国一, 江基尧   

  1. 上海交通大学医学院附属仁济医院神经外科, 上海市颅脑创伤研究所 (邮编 200127)
  • 收稿日期:2017-06-09 修回日期:2017-07-26 出版日期:2017-08-15 发布日期:2017-08-15
  • 通讯作者: 高国一 E-mail:gao3@sina.com
  • 作者简介:高国一 (1969), 男, 博士, 副主任医师, 主要从事颅脑创伤研究

Intracranial pressure monitoring in the management of traumatic brain injury

GAO Guo-yi, JIANG Ji-yao   

  1. Department of Neurosurgery, Shanghai Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai Head Trauma Institute, Shanghai 200127, China
  • Received:2017-06-09 Revised:2017-07-26 Published:2017-08-15 Online:2017-08-15

摘要: 颅内高压是神经外科医生救治重型颅脑创伤患者的关键指标, 颅内压(ICP)监测为提高治疗的针对性和 有效性提供了技术保障。本文试图就 ICP 监测的方法、 时机、 作用、 发展趋势等方面进行分析。ICP 监测发展的历史 是提高准确性和安全性的过程, 成熟的 ICP 监测技术为颅脑外伤管理提供了充分的信息流, 神经外科医生应充分利 用这一技术手段, 在 ICU 治疗和手术治疗实施的全过程中, 密切跟踪颅内压数值和趋势, 利用先进的数据收集和分 析系统分析颅内压波形和相关参数, 从而把 ICP 传递的信息得以充分和完整地诠释, 并且根据 ICP 监测结果, 提高 颅内高压管理的效果, 使 ICP 监测不仅可以反映颅脑伤带来的复杂的颅内病理生理变化, 也可以指导治疗措施的实 施, 提高颅脑外伤临床医疗的质量。

关键词: 颅脑损伤, 颅内高压, 颅内压监测, 数据分析

Abstract: Intracranial hypertension remains the key biomarker of severe traumatic brain injury for neurosurgery doctors. The monitoring of intracranial pressure (ICP) provides the technical support of precision and effective treatment strategy. In this article, the authors analyze the methodology, timing, function and development trend of ICP monitoring. The developing process of ICP monitoring contains the efforts of exploring a safe and precise technique to reflect the pressure in an injured brain. The modern ICP monitoring technology provides sufficient information flow for the management of craniocerebral trauma. Neurosurgeons could follow the information in the value and trends of ICP monitoring and implement it into decision making throughout the whole process of patient management. With the advanced data collecting and analyzing system the clinician can look into the waveform and parameter generalized by ICP value, and can interpret to the pathophysiological profiling in brain. ICP monitoring could exert efficacy not only in reflecting the mechanism of brain injury but also in the directing the clinical practice.

Key words: craniocerebral trauma, intracranial hypertension, intracranial pressure monitoring, data analysis