[Comparison of the intracranial pressure value in patients with hypertensive intracerebral hemorrhage treated with traditional craniotomy and puncture drainage].

Abstract

OBJECTIVE:

To compare the difference of intracranial pressure (ICP) in patients with hypertensive intracerebral hemorrhage (HICH) treated with two surgical procedures, traditional craniotomy and puncture drainage.

METHODS:

One hundred and twelve cases with HICH were randomly divided into two groups. In one group, 60 patients were operated by traditional craniotomy and in another group, 52 cases by puncture drainage and urokinase treatment. In the meantime, ICP was monitored by placing catheter in lateral ventricle on the contralateral side of the hemorrhage. ICP values were recorded after operation at once, at 24 hours, 72 hours and 1 week.

RESULTS:

Although all the patients showed increased ICP, the increasing degree in patients treated with traditional craniotomy had lower ICP values (P<0.05 or P<0.01).

CONCLUSION:

Traditional craniotomy has advantages over puncture drainage for patients with HICH at least with respect to decreasing ICP.

• Authors: Shao-jun Song, Zhou Fei, Xiang Zhang
• Journal: Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue (Zhongguo Wei Zhong Bing Ji Jiu Yi Xue) Vol. 15 Issue 9 Pg. 532-4 (Sep 2003) ISSN: 1003-0603 [Print] China
• PMID: 12971846 (Publication Type: Clinical Trial, Comparative Study, English Abstract, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)

Topics

• Adult
• Craniotomy
• Drainage
• Female
• Humans
• Intracranial Hemorrhage, Hypertensive (surgery)
• Intracranial Pressure
• Male
• Middle Aged
• Punctures