摘要
目的探讨双额叶脑挫裂伤早期行脑室穿刺外引流结合颅内压监测治疗的护理体会。方法对我院近三年来治疗的28例双额叶脑挫裂伤临床资料进行回顾分析。结果 28例均行脑室型颅内压探头植入术,成功治愈18例;监测过程中因持续颅内压>25 mm Hg,最终行开颅手术10例。伤后6个月GOS评分判断预后,恢复良好25例,轻残2例,重残1例。结论双额叶脑挫裂伤患者早期实施脑室穿刺外引流结合颅内压监测有利于观察病情,预防脑中心疝发生,可以更准确的掌握手术指征,提高救治成功率。
Objective To explore the nursing experience of early puncture and external drainage combined with intracranial pressure monitoring in the treatment of contusion and laceration of frontal lobe. Methods The clinical data of 28 cases of contusion and laceration of bilateral frontal lobes treated in our hospital in recent three years were retrospectively analyzed. Results Intracranial pressure probe implantation was performed in 28 cases, and 18 cases were successfully cured; During the monitoring process, 10 patients underwent craniotomy because of continuous intracranial pressure 〉 25 mmHg. 6 months after the injury, GOS score was used to judge the prognosis, 25 cases recovered well, 2 cases were light disability, 1 case were severe disability. Conclusion Early ventricular drainage combined with intracranial pressure monitoring is helpful to observe the condition and prevent the occurrence of central hernia in patients with bilateral frontal lobe contusion and laceration. It is more accurate to grasp the indications of operation and improve the success rate of treatment.
出处
《中国继续医学教育》
2017年第24期223-225,共3页
China Continuing Medical Education
关键词
脑室外引流术
颅内压监测
双额叶脑挫裂伤
护理体会
external ventricular drainage
intracranial pressure monitoring
contusion and laceration of bilateral frontal lobe
nursing experience
