急性颅脑损伤的临床、CT 与颅内压的关系

Relationship between clinical manifestation,CT and ICP in acute head injury

我院1984年5月～1988年7月收治急性颅脑损伤737例中收集了145例持续 ICP 监护的病例。全组均行 CT 扫描并持续 ICP 监护。对意识与 ICP、CT 与 ICP 及 ICP 与预后等方面进行初步探讨。结果表明:意识、脑室和脑池形态、脑室颅腔比率、中线结构移位以及预后与颅内压有一定的关系。但在临床上除以上关系外,与意识、预后有关的因素还很多。故 ICP 监护不是唯一判断预后的指标,必须结合临床才更为可靠。

Continous monitoring of the intracranial pressure(ICP)was performed in 145 cases out of 737 pa-tients with acute head injury admitted in ourdepartment from May 1984 to July 1988.Therewere 96 males and 49 females.Age ranged from 5to 80yrs.and most of them between 20 and 60 yearsold.CT scan were carried out in all cases.Rela-tionship between consciousness and ICP,ICP andoutcome were studied.The results showed that therewere some correlations between consciousness,ven-tricles or cistern form,ventricle/cranial cavity ratio,midline structure shift and outcome with ICP.Butbesides the above relationships,there were many fa-ctors influencing consciousness and outcome.There-fore,ICP monitoring isn't the only criterion,andother clinical conditions should be considered.