【摘要】 <正> 颅内压是观察颅脑重危病人的一项重要指标。近年来采用颅内压监护技术对重危病人作连续观察,已被公认是一种先进技术。这不仅能使医师及时掌握病情的变化,也为临床科研提供了客观的数据,并促进了对颅内压生理及病理的深入了解。有关颅内压监护术的概况,已有文献综述。本文是在颅内压持续描记实验成功的基础上,将国产医用更多还原

【Abstract】 Monitoring of intraoranial pressure in 20 neurosurgical patients by means of a locally made monitoring apparatus was reported. The data included continuous recording of intraventricular fluid pressure in 11 cases, epidural pressure in 8 cases and subdural pressure in 1 case. In the 3 cases in which integrity of .the epidural space had been spoiled by skull fracture or oraniotomy, the use of a modified Vries method to monitor epidural pressure failed. In another 3 cases in which the epidural space was intact, the use of modified Vries method to monitor epidural pressure was successful, but a marked damping effect prevented long term use of this technio. A miniature pressure transducer is indispensable in the monitoring of epidural pressure.Rhythmic variation of pressure waves and paroxysmal attacks of the so called "plateau wave" had been observed on several occasions. Furthermore, the effects of intravenous administration of mannitol or extract of Salvia Miltiorrhiza in dextran as well as releasing cerebrospinal fluid to reduce intracranial pressure had also been observed and recorded. It is concluded that monitoring of intracranial pressure should be of utmost importance in the care of critically ill neurological and neurosurgical patients.更多还原