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无创颅内压监测

  

  1. 首都医科大学附属北京天坛医院 神经重症医学科,北京  100050
  • 出版日期:2018-04-05 发布日期:2018-04-24
  • 通讯作者: 通信作者:温淼,Email:wenmiao2008@163.com
  • 作者简介:温淼,医学硕士。首都医科大学附属北京天坛医院神经重症医学科副主任医师。 北京神经内科学会神经重症分会第一届委员会常务委员,中国医师协会急诊医师分会第一届神经急诊专业委员会委员。

Monitoring  of  noninvasive intracranial pressure

  1. Department of Neurointensive Care Unit, Neurology center,  Beijing Tiantan Hospital,
    Capital Medical University, Beijing 100050, China
  • Online:2018-04-05 Published:2018-04-24
  • Contact: Corresponding author: Wen Miao, Email: wenmiao2008@163.com

摘要: 无创颅内压监测是神经危重症研究的重要方面,有助于指导疾病诊治,同时避免传统有创监测的风险和不足。目前无创颅内压监测主要通过脑血流监测、颅内压间接传导检测、神经电生理监测、脑代谢监测等方法实现,本质是检测颅内压变化引起的间接表现,如脑血流、组织结构形态、神经元电活动的改变。目前这些方法均无法准确可靠地测量颅内压,更理想的无创监测手段还需要进一步探索。

关键词: 颅内压, 超声检查, 多普勒, 经颅, 电生理学, 脑疾病, 代谢性

Abstract: Noninvasive intracranial pressure (ICP) measurement is an intriguing area of neurocritical care, with significance of guiding treatment while avoiding the risks and shortage of traditional invasive ICP monitoring. To date, noninvasive ICP monitoring mostly relies on cerebral blood flow monitoring, indirect ICP conduct detection, neuroelectrophysiological monitoring, brain metabolic monitoring,  which are essentially indirect reflection of ICP alterations. All of these methods  cannot determine ICP  accurately and reliably,  therefore the invasive measurements are still irreplaceable. Researches for exploring more ideal methods are needed.

Key words: intracranial pressure, ultrasonography, doppler, transcranial, electrophysiology, brain diseases, metabolic