去骨瓣减压联合颅内压监测下脑室外引流治疗重症高血压脑出血9例

Nine cases of severe hypertensive cerebral hemorrhage treated by decompressive craniotomy combined with extraventricular drainage under intracranial pressure

高血压性脑出血(hypertensive intracerebral hemorrhage,HICH)多见于中老年人,是高血压病的常见并发症,具有病情严重、发展迅速,高致死、致残率等特点,患者发病后颅内压(intracranial pressure,ICP)急剧升高,部分患者脑内血肿破入脑室,加重病情。开颅术后患者颅内压变化情况不易掌握,难以判断病情,而颅内压的变化会直接影响治疗效果[1]。