메뉴 건너뛰기
.. 내서재 .. 알림
소속 기관/학교 인증
인증하면 논문, 학술자료 등을  무료로 열람할 수 있어요.
한국대학교, 누리자동차, 시립도서관 등 나의 기관을 확인해보세요
(국내 대학 90% 이상 구독 중)
로그인 회원가입 고객센터 ENG
주제분류
인문학
인문학 일반 역사학 철학 종교학 어문학 기타 인문학
사회과학
사회과학 일반 경영학 관광학 교육학 군사학 문헌정보학 법학 사회학 신문방송학 심리과학 정치외교학 지리학 행정학 경제학 무역학 인류학 기타 사회과학
자연과학
자연과학 일반 물리학 생물학 생활과학 수학·통계학 천문학 지구과학 화학 기타 자연과학
공학
공학 일반 건축공학 기계공학 산업공학 재료·에너지공학 전기전자공학 조선해양공학 화학공학 컴퓨터학 기타공학
의약학
의학 일반 간호학 수의학 약학 한의학 기초의학 임상의학 기타 의약학
농수해양학
농수해양학 일반 농학 수산학 식품과학 임학 축산학 해상운송학 기타 농수해양학
예술체육학
예술 일반 디자인 미술 미용 사진 음악학 의상 체육 공연매체예술 기타 예술체육학
복합학
학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

ENG

추천
검색

논문 기본 정보

자료유형
학술저널
저자정보
Kim, Deok-Ryeong (Department of Neurosurgery, Eulji University School of Medicine, Eulji General Hospital) Yang, Seung-Ho (Department of Neurosurgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) Sung, Jae-Hoon (Department of Neurosurgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) Lee, Sang-Won (Department of Neurosurgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) Son, Byung-Chul (Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제55권 제1호
발행연도
2014.1
수록면
26 - 31 (6page)

이용수

표지
📌
연구주제
📖
연구배경
🔬
연구방법
🏆
연구결과
AI에게 요청하기
추천
검색

초록· 키워드

오류제보하기
Objective : Early decompressive craniectomy (DC) has been used as the first stage treatment to prevent secondary injuries in cases of severe traumatic brain injury (TBI). Postoperative management is the major factor that influences outcome. The aim of this study is to investigate the effect of postoperative management, using intracranial pressure (ICP) monitoring and including consecutive DC on the other side, on the two-week mortality in severe TBI patients treated with early DC. Methods : Seventy-eight patients with severe TBI [Glasgow Coma Scale (GCS) score <9] underwent early DC were retrospectively investigated. Among 78 patients with early DC, 53 patients were managed by conventional medical treatments and the other, 25 patients were treated under the guidance of ICP monitoring, placed during early DC. In the ICP monitoring group, consecutive DC on the other side were performed on 11 patients due to a high ICP of greater than 30 mm Hg and failure to respond to any other medical treatments. Results : The two-week mortality rate was significantly different between two groups [50.9% (27 patients) and 24% (6 patients), respectively, p=0.025]. After adjusting for confounding factors, including sex, low GCS score, and pupillary abnormalities, ICP monitoring was associated with a 78% lower likelihood of 2-week mortality (p=0.021). Conclusion : ICP monitoring in conjunction with postoperative treatment, after early DC, is associated with a significantly reduced risk of death.
#Brain injuries #Intracranial pressure monitoring #Decompressive craniectomy #Mortality

목차

등록된 정보가 없습니다.

참고문헌 (37)

참고문헌 신청
Aarabi B / 2006 / Outcome following decompressive craniectomy for malignant swelling due to severe head injury / J Neurosurg 104:469~479 google schola Akyuz M / 2010 / Effect of early bilateral decompressive craniectomy on outcome for severe traumatic brain injury / Turk Neurosurg 20:382~389 google schola Bao YH / 2010 / Bilateral decompressive craniectomy for patients with malignant diffuse brain swelling after severe traumatic brain injury : a 37-case study / J Neurotrauma 27:341~347 google schola Brain Trauma Foundation / 2007 / Guidelines for the management of severe traumatic brain injury. I. Blood pressure and oxygenation / J Neurotrauma 24(1):S7~S13 google schola Cremer OL / 2006 / Prognosis following severe head injury : development and validation of a model for prediction of death, disability, and functional recovery / J Trauma 61:1484~1491 google schola

이 논문의 저자 정보

최근 본 자료

전체보기

댓글(0)

0