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《Journal of Chengde Medical College》 2017-01
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WANG Tian-rong;LI Zhi-zhou;LI Hua-qing;Neurosurgery of People's Hospital of Xinxing County;  
Objective:To investigate the value of invasive continuous intracranial pressure monitoring in treatment of severe traumatic brain injury(sT BI). Methods: 130 cases of sT BI patients were divided into monitoring group and non-monitoring group according to therapies with 65 patients in each group. The patients in monitoring group were given invasive intracranial pressure monitoring after craniotomy; the patients in non-monitoring group were given conventional therapy according to vital signs, conscious state and imaging data. The application of mannitol, GOS score and complications of patients in 2 groups were comparatively analyzed. Results: The application time and dose of mannitol, the incidence of electrolyte disturbance and alimentary tract hemorrhage of patients in monitoring group were obviously lower than that of patients in non-monitoringgroup(P0.05). The good prognosis rate of patients in monitoring group after 3 months' treatment was 81.54%(53/65), which was obviously higher than non-monitoring group(P0.05). Conclusions: Dynamic monitoring of intracranial pressure with invasive intracranial pressure monitoring technique in sT BI patients is conducive to understand the illness timely, adjust the dosage drugs and improve the prognosis; so it is worthy of application in clinic.
【CateGory Index】: R651.15
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