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新生儿脑死亡中的脑再灌注。病例报告。

Cerebral reperfusion in brain death of a newborn. Case report.

作者信息

Sanker P, Roth B, Frowein R A, Firsching R

机构信息

Neurosurgical Clinic, Fulda, Fed. Rep. of Germany.

出版信息

Neurosurg Rev. 1992;15(4):315-7. doi: 10.1007/BF00257815.

DOI:10.1007/BF00257815
PMID:1480280
Abstract

A case of "sudden infant death" after 15 minutes of successful resuscitation of cardiovascular function is presented. While apnoic cranial nerve areflexia and electrocerebral silence persisted, angiography and transcranial Doppler sonography demonstrated nearly normal cerebral perfusion, which even increased day by day inspite of the persistence of other signs of brain death. The phenomenon "cerebral reperfusion" is concluded to be compatible with the diagnosis of brain death.

摘要

本文报告一例心血管功能成功复苏15分钟后出现“婴儿猝死”的病例。尽管存在呼吸暂停、颅神经反射消失和脑电静息,但血管造影和经颅多普勒超声显示脑灌注近乎正常,尽管存在其他脑死亡体征,但脑灌注仍逐日增加。得出“脑再灌注”现象与脑死亡诊断相符的结论。

相似文献

1
Cerebral reperfusion in brain death of a newborn. Case report.新生儿脑死亡中的脑再灌注。病例报告。
Neurosurg Rev. 1992;15(4):315-7. doi: 10.1007/BF00257815.
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J Neuroimaging. 2025 Jan-Feb;35(1):e70021. doi: 10.1111/jon.70021.

本文引用的文献

1
[Criteria of brain death: 3d generation. Interpretation of criteria established by the Federal Chamber of Physicians in determining brain death].脑死亡标准:第3版。联邦医师协会制定的判定脑死亡标准的解读
Anasth Intensivther Notfallmed. 1987 Feb;22(1):17-20.
2
Transcranial Doppler study of intracranial circulatory arrest.颅内循环骤停的经颅多普勒研究
J Neurosurg. 1989 Aug;71(2):195-201. doi: 10.3171/jns.1989.71.2.0195.
3
[Circulatory monitoring in very low birth weight infants using Doppler sonography].[使用多普勒超声对极低出生体重儿进行循环监测]
Monatsschr Kinderheilkd. 1990 Aug;138(8):416-21.