目的 探讨颅内压监测在颅脑外伤术后早期发现迟发性血肿中的价值.方法 收集郑州大学第二附属医院2011-09—2017-0980例颅脑外伤术后迟发性血肿并再次手术者,随机数字表法分为观察组和对照组各40例,对照组给予传统方法测定患者颅内压,观察组给予连续性颅内压监测,比较2组患者迟发性血肿发现时间和治疗效果.结果 在12 h内发现迟发性血肿例数观察组多于对照组,差异具有统计学意义(P<0.05);观察组治疗效果优于对照组,差异具有统计学意义(P<0.05).结论 采用颅内压监测可以早期发现颅脑外伤术后迟发性血肿,有利于患者及时治疗,值得临床推广.%Objective To explore the value of intracranial pressure monitoring in the early detection of delayed hematoma after craniocerebral trauma .Methods We collected 80 cases of delayed hematoma after craniocerebral trauma and reoperation from The Second Affiliated Hospital of Zhengzhou University from September 2011 to November 2016 .They were divided into observa-tion group and control group randomly ,with 40 cases in each group .The control group was given traditional method to determine the intracranial pressure of the patients ,and the observation group was given the continuous intracranial pressure monitoring .The delayed hematoma found time and therapeutic effectof patients from two groups were compared .Results The number of patients with delayed hematoma was significantly higher than that of the control group within 12 hours (P<0.05) .The treatment effect of the observation group was superior to the control group ,and the difference was statistically significant (P<0.05) .Conclusion In-tracranial pressure monitoring is effective in the early detection of delayed hematoma after craniocerebral trauma .It is worthy of clinical promotion .
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