Abstract：Objective To investigate the clinical value of ventricular intracranial pressure monitoring in treatment of severe craniocerebral trauma with high intracranial pressure. Methods A retrospective analysis was conducted on forty cases of severe craniocerebral trauma with GCS score of 3-5 undergone bilateral decompressive craniectomy from October 2010 to January 2012. The patients were divided into three groups: Group A (12 cases received craniotomy after the placement of ventricular intracranial pressure probe); Group B (15 cases had craniotomy ahead of the probe placement); control group (13 cases had probe placement alone). Intracranial pressure control, dose and duration of administration of dehydrator and prognosis were compared among groups. Results Groups A and B showed a better result in aspects of controlling intracranial pressure within 15 mm Hg, dose and duration of mannitol treatment, and prognosis, as compared with control group （P<0.05）. Furthermore, Group A had seven cases of severe disability or in vegetable state, but only three cases in Group B （P<0.05）. Conclusion Ventricular intracranial pressure monitoring can effectively reduce intracranial pressure, raise treatment success rate and decline the use of mannitol in management of severe craniocerebral trauma.
HUANG Qi-bing,ZHANG Yuan,SONG Cheng-ming et al. Clinical application of ventricular intracranial pressure monitoring in severe craniocerebral trauma[J]. CHINESE JOURNAL OF TRAUMA, 2013, 29(2): 107-110.
［1］Bekar A, Dogan S, Abas F, et al. Risk factors and complication of intracranial pressure monitoring with a fiberoptic device. J Clin Neurosci, 2009, 16(2):236-240.
［6］Czosnyka M, Pickard JD. Monitoring and interpretation of intracranial pressure. J Neurol Neurosurg Psychiatry, 2004, 75(6):813-821.
［7］Andrade AF, Marion JR, Miura FK, et al. Preliminary experience with decompressive ventriculostomy by continuous ventricular cerebrospinal fluid drainage in post traumatic diffuse brain swelling. J Neurotrauma, 2000, 19(9):1381-1392.
［8］Marshall LF, Eisenberg HM. ICP monitoring in severe head injury. J Neurosurg， 1987, 67(6):952-953.
［11］Bratton SL, Chestnut RM, Ghajar J, et al. Guidelines for the management of severe traumatic brain injury. VI. Indications for intracranial pressure monitoring. J Neurotrauma, 2007, 24 Suppl 1:S37-S44.
