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.
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.
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。
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