Sequential Ventricular Lumbar Cistern Drainage Guided by ICP Monitoring for Severe Intraventricular Hemorrhage
Wang Zhiyong
Qiu Binghui
Ai Changmiao
Li Caiqian
Luo Xingwu
Zhu Songguo
Zeng Hao
Abstract：Objective To explore the guiding role and prognostic prediction significance of intracranial pressure (ICP) monitoring for patients with severe intraventricular hemorrhage undergoing sequential ventricular-lumbar cistern drainage. Methods Eighty-eight patients undergoing sequential ventricular-lumbar cistern drainage for severe intraventricular hemorrhage were divided into ICP monitoring group (48 patients) with ICP monitoring and conventional drainage group (40 patients) without ICP monitoring. The therapeutic outcomes were compared between the two groups. Results The average total dose of mannitol and incidence of electrolyte disturbances, renal function injury, stress ulcer in ICP monitoring group were significantly lower than those in conventional drainage group (P<0.05), however, the good recovery rate in ICP monitoring group was superior to that in conventional drainage group (P<0.05). There was no significant difference in the evacuation rate of intraventricular hematoma, mortality rate and the incidence of intracranial rehemorrhage , pulmonary infection , intracranial infection and hydrocephalus between the two groups ( P > 0 . 05 ) . Conclusion Sequential ventricular-lumbar cistern drainage guided by ICP monitoring is beneficial to discover disease change timely, avert excessive or inadequate drainage, and reduce the dosage of dehydrant and associated complications, and improve the life quality of patients.
Keywords：intracranial hemorrhageICP monitoringdrainageexternal ventricularlumbar cistern
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 112-115 )