基于PI反应TBI患者颅内压及预后的应用现状

曲 秀彬1, 孙 斌*2
1、青海大学研究生院
2、重症医学科，青海省人民医院

摘要


创伤性脑损伤（TBI）是一个全球性的健康难题，患者常出现颅内压（ICP）持续升高，这不仅可能导致患者遭受不可逆的神经损伤，还会给其家庭和社会带来沉重的经济负担。目前监测ICP的任何有创手段都无法避免感染和出血等风险。因此，我们亟需一种及时、准确且无创的ICP监测方法。本文综述了经颅多普勒超声或经颅彩色双功能超声（TCD/TCCD）技术基于脑血流动力学的变化，尤其是基于大脑中动脉搏动指数（MCA-PI），反映ICP变化及患者的预后，并简略分析TCD/TCCD的优缺点。旨为科学研究和临床实践提供参考依据，以期改善TBI患者的监测和管理。

关键词


创伤性脑损伤；颅内压；无创；经颅多普勒；搏动指数；经颅彩色双功能超声

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参考


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