Stolkarts I Z
Vopr Neirokhir. 1975 Jul-Aug(4):46-50.
By employing continual electromamometry of the cerebrospinal fluid and central venous pressures the influence of nitrous oxide on the CSE pressure was studied in neurosurgical patients operated upon following pneumoencephalography. In patients treated surgically without any preliminary pneumoencephalographic investigation the normo- and hypocapnic artificial ventilation of the lungs with a N2O and O2 mixture produced a significant drop of the CSF pressure. A nitrous oxide anesthesia applied to the patients operated on after pneumoencephalography was accompanied by a marked rise of the cerebrospinal fluid tension. In such cases an artificial hyperventilation of the lungs failed to prevent a rise of the intracranial tension.
通过持续测量脑脊液压力和中心静脉压，研究了一氧化二氮对接受气脑造影术后神经外科手术患者脑脊液压力的影响。在未经任何气脑造影术前检查而接受手术治疗的患者中，使用一氧化二氮和氧气混合气体进行正常和低碳酸血症的人工肺通气会导致脑脊液压力显著下降。对气脑造影术后接受手术的患者使用一氧化二氮麻醉时，脑脊液压力会显著升高。在这种情况下，人工过度通气无法防止颅内压升高。
