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用于治疗脑水肿的高渗盐水

Hypertonic saline for cerebral edema.

作者信息

Georgiadis Alexandros L, Suarez José I

机构信息

Department of Neurology, University Hospitals of Cleveland, 11100 Euclid Avenue, Cleveland, OH 44106, USA.

出版信息

Curr Neurol Neurosci Rep. 2003 Nov;3(6):524-30. doi: 10.1007/s11910-003-0058-1.

DOI:10.1007/s11910-003-0058-1
PMID:14565909
Abstract

Raised intracranial pressure (ICP) is a major contributor to the mortality of many conditions encountered in a neurologic intensive care unit. Achieving a sustained reduction in ICP in patients with intracranial hypertension remains a challenge. Treatment with hyperosmolar agents is one of the few options that are available, and mannitol is currently the most commonly used agent. However, hypertonic saline solutions have recently emerged as a potentially safer and more efficacious alternative to mannitol.

摘要

颅内压升高(ICP)是神经重症监护病房中许多病症致死的主要原因。实现颅内高压患者的颅内压持续降低仍然是一项挑战。使用高渗药物治疗是现有的少数选择之一,甘露醇是目前最常用的药物。然而,高渗盐溶液最近已成为甘露醇潜在更安全、更有效的替代品。

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Hypertonic saline for cerebral edema.用于治疗脑水肿的高渗盐水
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2
Induced and sustained hypernatremia for the prevention and treatment of cerebral edema following brain injury.诱导和维持高钠血症以预防和治疗脑损伤后的脑水肿。
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Osmotherapy for intracranial hypertension: mannitol versus hypertonic saline.用于颅内高压的渗透疗法:甘露醇与高渗盐水对比
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Potentially Detrimental Effects of Hyperosmolality in Patients Treated for Traumatic Brain Injury.创伤性脑损伤患者高渗状态的潜在有害影响。
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An overview of management of intracranial hypertension in the intensive care unit.

本文引用的文献

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Hypertonic saline lowers raised intracranial pressure in children after head trauma.高渗盐水可降低儿童头部外伤后的颅内压升高。
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Isovolume hypertonic solutes (sodium chloride or mannitol) in the treatment of refractory posttraumatic intracranial hypertension: 2 mL/kg 7.5% saline is more effective than 2 mL/kg 20% mannitol.等容高渗溶质(氯化钠或甘露醇)治疗难治性创伤后颅内高压:2 mL/kg 7.5%盐水比2 mL/kg 20%甘露醇更有效。
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颅内高压在重症监护病房的管理概述。
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Effects of hypertonic (10%) saline in patients with raised intracranial pressure after stroke.高渗(10%)盐水对卒中后颅内压升高患者的影响。
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Use of hypertonic saline solutions in treatment of cerebral edema and intracranial hypertension.高渗盐溶液在脑水肿和颅内高压治疗中的应用。
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Hypertonic saline worsens infarct volume after transient focal ischemia in rats.高渗盐水会使大鼠短暂局灶性缺血后的梗死体积增大。
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Hypertonic saline solution for control of elevated intracranial pressure in patients with exhausted response to mannitol and barbiturates.高渗盐溶液用于控制对甘露醇和巴比妥类药物反应不佳的患者的颅内压升高。
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Use of hypertonic saline/acetate infusion in treatment of cerebral edema in patients with head trauma: experience at a single center.高渗盐水/醋酸输注在颅脑外伤患者脑水肿治疗中的应用:单中心经验
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