颅内压的有效控制在颅内肿瘤手术中的意义

Intracranial pressure,intracranial tumors in effective control of the important aspects of value and significance

目的对100例颅内肿瘤手术患者临床表现进行回顾性分析,阐述个别生理指标的临床分析价值,以期进一步提高手术方式的疗效。方法随机选择两年来院内接受颅内肿瘤手术患者100例,采用手术前CT或MRI检查,进行明确诊断,全部病人均采用快速诱导气管内插管静脉复合麻醉。结果本组患者行肿瘤全切除71例,大部切除22例,部分切除7例。经过综合治疗护理,术后恢复良好者91例,伤残5例,死亡4例,其中住院期间死亡为2例。结论在打开颅骨前和拔管前后ICP增高最明显,此时应警惕急性脑膨出的发生,明确的诊断以及积极的护理对于颅内肿瘤手术患者的早日康复具有重大意义。

Objective A retrospective study has been made on the clinical observation of 100 cases of intracranial tumors operation in order to elaborate the clinical analysis value of individual physiological target and increase the clinical outcome of theses diseases.Methods Select 100 cases of intracranial tumors operation in a random from the patients accepted in two years.CT or the MRI inspection were carried on to clear the diagnosis before the operation.All patients were anesthetized by using the combined anesthesia of tacho-induction end tracheal intubation and vein.Results 71 cases had total removal,22 cases had big excises and 7 cases had partial excision in this group. After the complex and complete nursing,91 cases restored to a satisfactory condition after the operation,5 cases disabled and 4 cases died,2 of them died in the hospitalized period.Conclusion In the brain tumor patients,ICP increases to reach the peak level immediately before craniotomy and after extubation,explicit diagnosis and positive nursing have great significance to the patients with intracranial tumors operation.