中心静脉压水平与脑外伤患者的早期疗效分析

甘霖

doi:10.13201/j.issn.1009-5918.2015.01.013

中心静脉压水平与脑外伤患者的早期疗效分析

甘霖^,

- 潜江市中心医院ICU(湖北潜江, 433199)

详细信息

通讯作者: 甘霖,E-mail:icuganlin@163.com

中图分类号: R651

收稿日期: 2014-11-13

The analysis of the effects of the central venous pressure level on early efficacy of treatment with traumatic brain injury

GAN Lin^,

- Department of Cricital Care, The Central Hospital of Qianjiang, Qianjiang 433199, China

More Information

Corresponding author: GAN Lin, E-mail: icuganlin@163.com

Received Date: 13 November 2014

摘要

摘要: 目的：探讨中心静脉压（CVP）水平对脑外伤患者的早期疗效的影响。方法：根据格拉斯（GCS）评分将脑外伤患者分为3组：轻度组、中度组、重度组。分别将3组随机分为较低CVP值组（5~8 cmH₂O）、较高CVP值组（9~12 cmH₂O），根据瞳孔、神志、GCS评分及颅脑CT的改善，分3个时间（24 h、72 h和1周）观察其变化。结果：较低CVP值组的早期疗效优于较高CVP值组。结论：在患者CVP水平保持在5~8 cmH₂O时，既可保证患者脑灌注压，又不至于加重脑水肿，早期疗效较好。
- CVP水平(中心静脉压) /
- 脑外伤患者 /
- 早期疗效
Abstract: Objective: To discuss the effects of central venous pressure (CVP) level on early efficacy of treatment with traumatic brain injury (TBI).Method: According to Glasgow coma scale (GCS),traumatic brain injury patients were divided into three groups:mild,moderate and severe group.The three groups were randomly divided into a lower CVP group (5~8 cmH₂O) and the higher CVP group (9~12 cmH₂O).According to the pupil consciousness,GCS and brain CT,to observe the changes on the three time points (24 hours,72 hours and 1 week).Result: The lower CVP group is superior to the higher CVP group of matter the in early efficacy.Conclusion: The early efficacy of treatment is better when the CVP levels stayed around the 5~8 cmH₂O,which can ensure the cerebral perfusion pressure without aggravating cerebral edema.
- CVP level (central venous pressure) /
- traumatic brain injury patients /
- early efficacy of treatment

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参考文献(5)

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