Value of intracranial pressure monitoring combined with external ventricular drainage in the treatment of patients with bilateral frontal cerebral contusion after decompressive craniectomy

KAN Songsong; QU Xingyi; Rao Shitao; SUN Baozeng; XU Pengliang; YU Chao

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Medical Journal of the Chinese People Armed Police Forces ›› 2025, Vol. 36 ›› Issue (6) : 491-495.

Value of intracranial pressure monitoring combined with external ventricular drainage in the treatment of patients with bilateral frontal cerebral contusion after decompressive craniectomy

KAN Songsong, QU Xingyi, Rao Shitao, SUN Baozeng, XU Pengliang, YU Chao

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Abstract

Objective To explore the application of intracranial pressure （ICP） monitoring combined with external ventricular drainage （EVD） in the treatment of patients with bilateral frontal cerebral contusion after decompressive craniectomy. Methods The clinical data of 42 patients who underwent bilateral decompressive craniectomy treatment at Jiangxi Provincial Corps Hospital of Chinese People’s Armed Police Force from January 2012 to December 2023 were summarized. Based on whether they received ICP monitoring during the operation,the patients were divided into a detection group （n=21） and a control group （n=21）. The changes in intracranial pressure at different time points, the use of mannitol, recovery status, and complications were compared. Results The intracranial pressure within 48 hours after operation in the detection group and the control group were [（35.25±3.30）mmHg vs. （35.33±2.52）mmHg], respectively, and there was no significant difference in the above changes （P>0.05）. The intracranial pressures at 72 h and 96 h after operation in the detection group [（27.50±4.04） mmHg and （21.00±3.16） mmHg）] were significantly lower than that in the control group [（32.00±3.61）mmHg,（29.00±4.58）mmHg]（P<0.05）. The dosage and duration of postoperative mannitol in the detection group [（1498.57±442.13）ml; （12.86±4.16）d）] were significantly less than those in the control group [（3362.14±417.79）ml,（26.76±4.60）d]（P<0.05）. The incidence of cerebral hernia in the detection group was significantly lower than that in the control group （4.76% vs. 28.57%; P<0.05）.At six months after operation,the proportion of good recovery in the detection group was significantly higher than that in control group （P < 0.05）. Conclusions ICP monitoring combined with EVD can reduce the consumption and duration of mannitol, decrease the rate of complication, and improve the prognosis of patients.

Key words

bilateral frontal cerebral contusion / decompressive craniectomy / intracranial pressure monitoring / external ventricular drainage

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KAN Songsong, QU Xingyi, Rao Shitao, SUN Baozeng, XU Pengliang, YU Chao. Value of intracranial pressure monitoring combined with external ventricular drainage in the treatment of patients with bilateral frontal cerebral contusion after decompressive craniectomy[J]. Medical Journal of the Chinese People Armed Police Forces. 2025, 36(6): 491-495

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