颅内压监测在大面积脑梗死中的临床应用进展
Progress in Clinical Application of Intracranial Pressure Monitoring in Massive Cerebral Infarction
DOI: 10.12677/ACM.2022.122162, PDF,   
作者: 李 非*：延安大学附属医院，陕西 延安；张国来#：延安大学附属医院神经外科，陕西 延安
关键词: 大面积脑梗死；颅内压监测；临床应用进展；Massive Cerebral Infarction； Intracranial Pressure Monitoring； Clinical Application Progress
摘要: 大面积脑梗死是指一种高致死率、高致残率、预后极差的疾病，给家庭、社会带来了的沉重负担；颅内压(Intracranial pressure, ICP)监测是神经监护的重要内容，在颅脑损伤的临床治疗中已取得共识，但在大面积脑梗死的临床治疗中是否获益尚无定论；本文将对颅内压监测技术及相关的禁忌症、并发症、注意事项、颅内压监测在大面积脑梗死中的临床应用进展及现状作一综述。
Abstract: Massive cerebral infarction is a disease with high mortality, high disability rate and poor prognosis, which brings heavy burden to family and society. Intracranial pressure (ICP) monitoring is an important content of neurological monitoring, which has been widely accepted in the clinical treatment of craniocerebral injury, but whether it is beneficial in the clinical treatment of massive cerebral infarction has not been concluded. In this paper, the clinical application of intracranial pressure monitoring technology and related contraindications, complications, precautions and the status quo of intracranial pressure monitoring in massive cerebral infarction were reviewed.
文章引用：李非, 张国来. 颅内压监测在大面积脑梗死中的临床应用进展[J]. 临床医学进展, 2022, 12(2): 1105-1115. https://doi.org/10.12677/ACM.2022.122162

参考文献

[1] 中华医学会神经外科学分会, 国家卫健委脑卒中筛查与防治工程委员会, 海峡两岸医药卫生交流协会神经外科分会缺血性脑血管病学组. 大面积脑梗死外科治疗指南[J]. 中华医学杂志, 2021, 101(45): 3700-3711.
[2] Sonig, A., Jumah, F., Raju, B., et al. (2020) The Historical Evolution of Intracranial Pressure Monitoring. World Neurosurgery, 138, 491-497. [Google Scholar] [CrossRef] [PubMed]
[3] 齐洪武, 曾维俊, 任胤朋, 等. 有创颅内压监测技术的研究进展[J]. 中国微侵袭神经外科杂志, 2020, 25(6): 281-284.
[4] 梁强, 邵淑琦, 段磊. 颅内压监测研究进展[J]. 中国神经精神疾病杂志, 2019, 45(4): 242-245.
[5] Harary, M., Dolmans, R.G.F. and Gormley, W.B. (2018) Intracranial Pressure Monitoring-Review and Avenues for Development. Sensors, 18, Article No. 465. [Google Scholar] [CrossRef] [PubMed]
[6] Zhang, X., Medow, J.E., Iskandar, B.J., et al. (2017) Invasive and Noninvasive Means of Measuring Intracranial Pressure: A Review. Physiological Measurement, 38, R143. [Google Scholar] [CrossRef] [PubMed]
[7] 武蒙蒙, 胡红建, 梅其勇. 无创颅内压监测技术研究进展[J]. 第二军医大学学报, 2021, 42(8): 897-902.
[8] Frank, J.I. (1995) Large Hemispheric Infarction, Deterioration, and Intracranial Pressure. Neurology, 45, 1286-1290. [Google Scholar] [CrossRef] 
[9] Schwab, S., Aschoff, A., Spranger, M., et al. (1996) The Value of Intracranial Pressure Monitoring in Acute Hemispheric Stroke. Neurology, 47, 393-398. [Google Scholar] [CrossRef] 
[10] Steiner, T., Pilz, J., Schellinger, P., et al. (2001) Multimodal Online Monitoring in Middle Cerebral Artery Territory Stroke. Stroke, 32, 2500-2506. [Google Scholar] [CrossRef] [PubMed]
[11] Asil, T., Uzunca, I., Utku, U., et al. (2003) Monitoring of Increased Intracranial Pressure Resulting from Cerebral Edema with Transcranial Doppler Sonography in Patients with Middle Cerebral Artery Infarction. Journal of Ultrasound in Medicine, 22, 1049-1053. [Google Scholar] [CrossRef] [PubMed]
[12] Jaeger, M., Soehle, M. and Meixensberger, J. (2005) Improvement of Brain Tissue Oxygen and Intracranial Pressure during and after Surgical Decompression for Diffuse Brain Oedema and Space Occupying Infarction. In: Poon, W.S., et al., Eds., Intracranial Pressure and Brain Monitoring XII, Springer, Vienna, 117-118. [Google Scholar] [CrossRef] 
[13] Horstmann, S., Koziol, J.A., Martinez-Torres, F., et al. (2008) Sonographic Monitoring of Mass Effect in Stroke Patients Treated with Hypothermia. Correlation with Intracranial Pressure and Matrix Metalloproteinase 2 and 9 Expression. Journal of the Neurological Sciences, 276, 75-78. [Google Scholar] [CrossRef] [PubMed]
[14] Poca, M.A., Benejam, B., Sahuquillo, J., et al. (2010) Monitoring Intracranial Pressure in Patients with Malignant Middle Cerebral Artery Infarction: Is It Useful? Journal of Neurosurgery, 112, 648-657. [Google Scholar] [CrossRef] 
[15] Paldor, I., Rosenthal, G., Cohen, J.E., et al. (2014) Intracranial Pressure Monitoring Following Decompressive Hemicraniectomy for Malignant Cerebral Infarction. Journal of Clinical Neuroscience, 22, 79-82. [Google Scholar] [CrossRef] [PubMed]
[16] Jeon, S.B., Park, J.C., Kwon, S.U., et al. (2016) Intracranial Pressure Soon after Hemicraniectomy in Malignant Middle Cerebral Artery Infarction. Journal of Intensive Care Medicine, 33, 310-316. [Google Scholar] [CrossRef] [PubMed]
[17] 许毅, 刘科, 方波, 等. 24例大面积脑梗死患者颅内压动态监测的临床分析[J]. 第三军医大学学报, 2014, 36(11): 1231-1232.
[18] 阮庆峰. 颅内压监测联合去骨瓣减压治疗大面积脑梗死[J]. 中国实用神经疾病杂志, 2012, 15(10): 23-25.
[19] 范仕兵, 李骥, 刘明东. 颅内压监测联合去骨瓣减压治疗大面积脑梗死疗效观察[J]. 中国实用神经疾病杂志, 2014, 17(6): 18-19.
[20] 张祥, 王增亮, 汪永新, 等. 标准大骨瓣减压术结合颅内压监测治疗大面积脑梗死的临床分析[J]. 中国临床神经外科杂志, 2015, 20(8): 497-499.
[21] 刘明. 持续颅内压监测在大面积脑梗死患者中的应用研究[D]: [硕士学位论文]. 石家庄: 河北医科大学, 2016.
[22] 王建伟, 王文学, 刘宇梁, 等. 早期去骨瓣减压并颅内压监测治疗大面积脑梗死[J]. 中国医学创新, 2016, 13(25): 7-10.
[23] 周映彤, 刘李攀, 黎罗明, 等. 52例大面积脑梗死患者颅内压动态监测的临床分析[J]. 吉林医学, 2017, 38(1): 16-17.
[24] 贺亚杰, 管勇, 孙淼. 持续颅内压监测在大面积小脑梗死治疗中的应用[J]. 中国神经精神疾病杂志, 2017, 43(11): 683-685.
[25] 周映彤, 黎罗明, 邹达良. TCD颅内压监测在急性大面积脑梗死颅内压管理中的应用研究[J]. 中国医学创新, 2017, 14(18): 20-23.
[26] 杨海涛, 黄美华, 郑霖飞, 等. 去骨瓣减压联合颅内压监测治疗大面积脑梗死的效果观察[J]. 临床合理用药杂志, 2018, 11(28): 122-123.
[27] 蓝莎利, 姚瀚勋, 李晓斌. 大面积脑梗死去骨瓣减压术后颅内压持续监测护理[J]. 浙江实用医学, 2018, 23(2): 141-144.
[28] 刘丽芳, 谢广福. 早期无创颅内压监测联合血清NSE水平预测大面积脑梗死患者颅内压[J]. 包头医学院学报, 2019, 35(11): 22-24+51.
[29] 屈征, 石秋艳, 王翠兰, 等. 大面积脑梗死患者颅内压与血清NSE、S-100B蛋白变化的关系[J]. 河北医科大学学报, 2019, 40(2): 137-140.
[30] 王炬, 冯光. 有创颅内压监测在大面积脑梗死治疗中的作用[J]. 中国实用神经疾病杂志, 2020, 23(1): 70-74.
[31] 陈国昌, 石小峰, 陆云涛. 老年急性大面积脑梗死患者持续颅内压监测联合阶梯式治疗的效果分析[J]. 中风与神经疾病杂志, 2020, 37(8): 707-709.
[32] 乔建新, 王静辉, 李媛莉, 等. 持续颅内压监测对大面积脑梗死外科治疗预后的应用价值[J]. 现代生物医学进展, 2020, 20(8): 1545-1548.
[33] 候国涛, 孙文江, 蔡加全. 颅内压监测在幕上大面积脑梗死减压术后治疗的应用价值[J]. 临床神经病学杂志, 2021, 34(1): 54-57.
[34] 陈波, 顾晓泓, 黄啸元, 等. 持续颅内压监测在大面积脑梗死手术治疗中的临床应用[J]. 新疆医学, 2020, 50(8): 826-828.
[35] 蔡丹辉, 江楠, 黄敏东, 等. 大面积脑梗死外科手术治疗后颅内压监测价值分析[J]. 深圳中西医结合杂志, 2021, 31(11): 130-132.
[36] 吴文昌, 吴雪松, 潘荣南, 等. 有创颅内压监测在大面积脑梗死患者手术治疗中的应用[J]. 西部医学, 2019, 31(6): 904-907.
[37] Funchal, B.F., Alves, M.M., Suriano, Í.C., et al. (2018) Intracranial Pressure Following Decompressive Hemicraniectomy for Malignant Cerebral Infarction: Clinical and Treatment Correlations. Arquivos de Neuro-Psiquiatria, 76, 812-815. [Google Scholar] [CrossRef] [PubMed]

为你推荐