Significance of Intracranial Pressure Monitoring after Severe Head Injury
CHANG Wenhai
LI Qingbin
Abstract：To study changes of intracranial pressure (ICP) in 55 patients with severe head injury and their clinical significances. Methods: The frontal horn of lateral ventricle was punctured. The ICP was continuously monitored and recorded.The monitoring duration was 7 hours to 5 days. The ICP at 2 hours after monitoring was acted as an initial value (admission value) . Based on ＜ and ≥2.67 kPa,ICP values were classified into 2 groups. Based on ＜2.67 kPa,2.67～5.33 kPa and ＞5.33 kPa in continuously monitoring, ICP values were divided into 3 groups. Results: ICP was ≥2.67 kPa in 71% of cases,and ＞5.33 kPa in 16.5% .The ICPs in patients with intracranial hematoma were higher than those with brain contusion (x2 = 6.43, P ＜0.05). When an initial value was ≥2.67 kPa, it was associated with a poor outcome (x2 = 7.65, P ＜0.05). There were significant differences between different ICP in continuously monitoring (x2 = 13.23, P ＜0.05).Conclusion:The ICP monitoring may reflect the variations of clinical status and judge prognosis. It can early find secondary brain damages and direct their treatments too.
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Publication Date：2001-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 26-28 )