颅内压监测装置在动脉瘤出血破入脑室病人中的应用

Application of the intracranial pressure monitoring device in patients with intracranial aneurysm hemorrhaging into the ventricle

目的:探讨动脉瘤破裂出血破入脑室病人应用颅内压监测装置的可行性。方法:回顾性分析23例动脉瘤出血破入脑室病人的临床特点、并发症及预后。结果:病人根据HUNT-HESS分级分为3组,初始颅内压平均28.52mmHg。术后有3例病人发生颅内感染,有2例病人发生动脉瘤破裂再出血,有4例病人发生脑积水。颅内压装置放置时间3~12 d,平均6.87 d。出院时HUNT-HESS分级各级的格拉斯哥预后评分为Ⅱ级5.00分,Ⅲ级3.33分,Ⅳ级2.44分,各级间格拉斯哥预后评分差异有统计学意义(P<0.01)。结论:应用颅内压监测装置于动脉瘤破裂出血破入脑室病人,有助于实时监测病人颅内压,治疗过程顺利,病人预后评分较高。

Objective:To investigate the feasibility of the application of intracranial pressure monitoring device in patients with intracranial aneurysm hemorrhaging into the ventricle.Methods:The clinical characteristics,complications and prognosis in 23 patients with intracranial aneurysm hemorrhaging into the ventricle were retrospectively analyzed.Results:All patients were divided into three groups according to the HUNT-HESS classification.The average initial intracranial pressure was 28.52 mmHg.Postoperative intracranial infection occurred in 3 cases,the aneurysm rupture rebleeding in 2 cases were identified,and the postoperative hydrocephalus in 4 cases were found.The intracranial pressure device was implanted for 3 to 12 days(mean 6.87 days).At discharge,the GOS scores of grade Ⅱ,Ⅲ and Ⅳ HUNT-HESS were 5.00,3.33 and 2.44 points,respectively.The differences of GCS scores in different grades were statistically significant(P<0.01).Conclusions:The application of intracranial pressure monitoring device in patients with intracranial aneurysm hemorrhaging into the ventricle can help to monitor the intracranial pressure in real-time,and ensure the smooth treatment course and better prognosis.