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[在氟烷-氧化亚氮麻醉下分次气体脑造影术中使用氧化亚氮作为造影剂]

[The use of nitrous oxide as a contrast medium during fractionated gas encephalography in halane-nitrous-oxide anesthesia].

作者信息

Moritz R, Kubisch E, Leu U

出版信息

Psychiatr Neurol Med Psychol (Leipz). 1975 Feb;27(2):115-24.

PMID:1197446
Abstract

40 children were employed as test cases in fractionated gas encephalography using Halan-nitrous oxide anesthesia, and the level of cerebrospinal pressure, the röntgenoparent quality of the extracerebral spaces and the duration of postencephalographical symptoms were examined using air and nitrous oxide as contrast media. In the course of the examination the cerebrospinal pressure showed a tendency to rise when air was introduced, to fall when nitrous oxide was introduced. After instillation of N2O however the filling of the subarachnoid space was over so quickly that it could not be included in the assessment. Sufficient röntgenograms were obtained for all diagnostic demands through 'hybrid filling', (introduction of nitrous oxide into the ventricles, introduction of air into the subarachnoid spaces). With the aid of the results obtained from this examination attempts will be made to derive differentiated indications for filling with nitrous oxide.

摘要

40名儿童被用作采用哈伦-氧化亚氮麻醉的分次气体脑造影的测试病例,使用空气和氧化亚氮作为造影剂,检查了脑脊液压力、脑外间隙的X线透亮度以及脑造影术后症状的持续时间。在检查过程中,引入空气时脑脊液压力有上升趋势,引入氧化亚氮时脑脊液压力有下降趋势。然而,注入N2O后蛛网膜下腔的充盈速度太快,以至于无法纳入评估。通过“混合充盈”(向脑室注入氧化亚氮,向蛛网膜下腔注入空气)获得了满足所有诊断需求的足够的X线片。借助本次检查获得的结果,将尝试得出氧化亚氮充盈的不同适应证。

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