Omori Tomoaki, Hirashima Yutaka, Oka Nobuo, Takeda Shigenori, Mino Yoshiki, Harada Jun, Endo Shunro
Department of Neurosurgery, Toyama Medical and Pharmaceutical University, Toyama, Japan.
Neurol Med Chir (Tokyo). 2004 Jan;44(1):1-4; discussion 5. doi: 10.2176/nmc.44.1.
The relationships between temperature indices and clinical condition on admission or improvement after ventriculoperitoneal (VP) shunting were evaluated in patients with subarachnoid hemorrhage (SAH). Brain temperatures were measured at intervals of 1 cm from the brain surface to the lateral ventricle at shunt operation. Rectal temperature was also measured. The difference between intraventricular and rectal temperatures was correlated with age (p = 0.0486), Glasgow Coma Scale (p = 0.0129), Hunt and Hess grade (p = 0.0101), and improvement score after VP shunting (p = 0.0104). Measurement of brain temperature may predict the outcome of VP shunting in patients with SAH.
在蛛网膜下腔出血(SAH)患者中,评估了脑室腹腔(VP)分流术前入院时的温度指标与临床状况之间的关系,以及VP分流术后病情改善情况。在分流手术时,从脑表面到侧脑室每隔1厘米测量一次脑温。同时也测量直肠温度。脑室内温度与直肠温度的差值与年龄(p = 0.0486)、格拉斯哥昏迷量表(p = 0.0129)、Hunt和Hess分级(p = 0.0101)以及VP分流术后的改善评分(p = 0.0104)相关。测量脑温可能预测SAH患者VP分流术的结果。