Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Chongqing Medicine》 2017-20
Add to Favorite Get Latest Update

Study on application value of invasive intracranial pressure monitoring in children with severe craniocerebral trauma

Wang Wenlei;Xu Feng;Li Fang;Intensive Care Unit,Affiliated Children′s Hospital of Chongqing Medical University/Ministry of Education Key Laboratory of Child Development and Disorders/Key Laboratory of Pediatrics in Chongqing,Chongqing International Science and Technology Cooperation Center for Child Development and Disorder;Department of Neonatology,Affiliated Children′s Hospital of Chongqing Medical University/Ministry of Education Key Laboratory of Child Development and Disorders/Key Laboratory of Pediatrics in Chongqing,Chongqing International Science and Technology Cooperation Center for Child Development and Disorder;  
Objective To explore the application value of invasive intracranial pressure(ICP)monitoring in children with severe traumatic brain injur(sTBI).Methods A total of 158 children with sTBI in our hospital from January 2012 to March 2015 were collected and retrospectively analysed.According to whether the child recieved invasive ICP monitoring or not,they were divided into the monitoring group(80cases)and the control group(78cases).Children in the monitoring group were embed of invasive ICP monitoring device within first 24 hafter surgery,and were treated with appropriate measures according to the ICP level.In the control group,the determination of whether needing to recieve head CT and adjusting the treatment program was made based on the clinical symptoms and surgeon′s experiences.The prognosis of children in the two groups were evaluated by Glasgow coma scale(GOS)and compared at 3months after injury.At the same time,the prognosis of children in the monitoring group with different ICP levels were compared.Results The favorable prognosis rates in the monitoring group and control group were 61.2% and41.0% respectively,and there was statistically significant difference between the two groups(P0.05).The mortality rates of children in the monitoring group had statistical difference among different ICP levels(P0.05).Conclusion For children with sTBI,the invasive ICP monitoring is contribute to dynamically observing the changes in ICP,early detecting changes of conditions,guiding clinical treatment,and improving the prognosis.
【Fund】: 国家自然科学基金资助项目(81401236)
【CateGory Index】: R726.5
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved