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摘要: 颅脑损伤患者往往伴随着不同程度的颅内压(intracranial pressure,ICP)增高,ICP增高又是造成各种临床症状和不良预后的重要病理生理因素。临床上对创伤性颅脑损伤患者进行及时且有效的ICP监测能更及时准确地为临床治疗提供依据,利于患者预后。面对不同程度的颅脑损伤患者,选择合适的ICP监测工具有利于病情监测,减少患者痛苦。本文针对目前有创和无创ICP监测方式在颅脑损伤患者中的应用进展进行了全面的回顾和阐述,探讨临床无创监测ICP手段的发展方向和应用前景。Abstract: Patients with traumatic brain injury often experience different degrees of increased intracranial pressure(ICP), which is a significant physiopathologic factor associated with various clinical symptoms and poor outcomes. Timely and effective ICP monitoring in patients with traumatic brain injury plays a crucial role in providing accurate information for clinical decision-making and improving the prognosis of patients. Selecting appropriate ICP monitoring tools for patients with different degrees of brain injury is beneficial for monitoring the condition and reducing the patients'discomfort. This paper provides a comprehensive review and discussion of the current progress in the application of invasive and non-invasive ICP monitoring methods in patients with traumatic brain injury, aiming to explore the development direction and application prospects of non-invasive ICP monitoring in the future.
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