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标准作业程序在脑卒中术后颅内压管理中的应用 被引量:2
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作者 王非凡 屈红 +2 位作者 崔莹 彭翠香 宋宏源 《中国临床神经外科杂志》 2016年第10期618-620,共3页
目的探讨标准作业程序(SOP)在脑卒中术后颅内压(ICP)管理中的应用效果。方法建立并实施脑卒中术后ICP管理SOP、制作ICP监测表单,规范ICP管理的程序及步骤。结果实施SOP后,规范了护理行为,提高了护士观察病情的能力,减少了因护理不当而... 目的探讨标准作业程序(SOP)在脑卒中术后颅内压(ICP)管理中的应用效果。方法建立并实施脑卒中术后ICP管理SOP、制作ICP监测表单,规范ICP管理的程序及步骤。结果实施SOP后,规范了护理行为,提高了护士观察病情的能力,减少了因护理不当而导致的ICP增高发生率,提高了医护双方满意度。结论规范脑卒中术后ICP管理可提高患者护理人员执行力,促进医护合作,提高服务品质,保障患者安全。 展开更多
关键词 脑卒中 手术 标准作业程序 颅内压管理 效果
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Management of patients with severe traumatic brain injury guided by intraventricular intracranial pressure monitoring: a report of 136 cases 被引量:12
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作者 曾涛 高亮 《Chinese Journal of Traumatology》 CAS 2010年第3期146-151,共6页
Objective: To evaluate the effect of the treatment modality guided by intraventricular intracranial pressure (ICP) monitoring on patients with severe traumatic brain injury (TBI). Methods: The clinical data of ... Objective: To evaluate the effect of the treatment modality guided by intraventricular intracranial pressure (ICP) monitoring on patients with severe traumatic brain injury (TBI). Methods: The clinical data of a group of 136 severely brain-injured patients admitted to Shanghai Neurosurgical Emergency Center from December 2004 to February 2006 were studied. Results: The intraventricular ICP monitor was placed in all the 136 patients via Kocher's pathway, Paine's pathway or intraoperative opened ventricle. In this series, the probe was placed during the procedure of craniotomy in 98 patients; for other 38 patients, the probe was placed initially to measure or to monitor ICE A stepwise protocol targeting at ICP control (420 mm Hg) and optimal cerebral perfusion pressure (CPP) maintenance (60-90 mm Hg) was deployed.Among them, 76 patients survived with good recovery, 14 with moderate disability, 24 with severe disability, 10 with vegetative state, and 12 died. Complications associated with intraventricular ICP monitoring included hemorrhage and infection. Hemorrhage occurred in 1 patient and infection in 5 patients. There were no unacceptable complications related to ICP monitoring. Conclusions: Ventricular access for 1CP monitoring can be safely and accurately achieved. ICP monitoring via ventriculostomy may facilitate an early and accurate intervention for severely brain-injured patients. The intraventricular ICP monitoring is a low-risk procedure and can yield great benefits for management of patients with severe TBI. 展开更多
关键词 Brain injuries Intracranial pressure VENTRICULOSTOMY
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