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首页> 外文期刊>Blood purification >Intracranial Pressure Monitoring in Patients with Fulminant Hepatic Failure Treated with Plasma Exchange and Continuous Hemodiafiltration.
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Intracranial Pressure Monitoring in Patients with Fulminant Hepatic Failure Treated with Plasma Exchange and Continuous Hemodiafiltration.

机译：血浆置换和持续血液透析滤过治疗的重型肝衰竭患者的颅内压监测。

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Background/Aims: To study the influence of our artificial liver support (ALS) on intracranial pressure (ICP) and to evaluate the significance of ICP monitoring in fulminant hepatic failure (FHF) patients treated with ALS. Methods:ICP was measured in 13 consecutive FHF patients treated with ALS. Maximum value in ICP every day was employed as ICP(max) of the day. We analyzed the correlation: (a) between ICP(max )and consciousness level; (b) between ICP and colloid osmotic pressure (COP), and (c) between ICP and PaCO(2). Results: ICP in 11 patients of 13 was controlled <20 mm Hg through our ALS. A significant positive correlation between ICP(max) and consciousness level was found (p < 0.01). Although there was a significantly negative correlation between ICP and COP (p < 0.001), there was no correlation between ICP and PaCO(2). Conclusions:We conclude that our ALS does not have any adverse effects on ICP and that ICP monitoring is one of the inevitable monitorings in the management of FHF. Copyright (c) 2005 S. Karger AG, Basel.
机译：背景/目的：研究人工肝支持（ALS）对颅内压（ICP）的影响，并评估ICP监测在接受ALS治疗的暴发性肝衰竭（FHF）患者中的意义。方法：对13例接受ALS治疗的FHF患者进行ICP测定。每天的ICP最大值用作当天的ICP（最大值）。我们分析了相关性：（a）ICP（max）与意识水平之间的关系; （b）在ICP和胶体渗透压（COP）之间，以及（c）在ICP和PaCO（2）之间。结果：通过我们的ALS将11例13例患者的ICP控制在<20 mm Hg。 ICP（max）与意识水平之间存在显着正相关（p <0.01）。尽管ICP与COP之间存在显着的负相关（p <0.001），但ICP与PaCO之间没有相关性（2）。结论：我们得出结论，我们的ALS对ICP没有任何不利影响，并且ICP监测是FHF管理中不可避免的监测之一。版权所有（c）2005 S.Karger AG，巴塞尔。

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