Rao G S U, Ramesh V J, Lalla R K
Department of Neuroanesthesia, National Institute of Mental Health and Neurosciences, Bangalore, India.
Acta Anaesthesiol Scand. 2005 Sep;49(8):1214-7. doi: 10.1111/j.1399-6576.2005.00795.x.
We describe a patient with a brainstem cavernoma who was dependent on hypoxic respiratory drive initially. After excision of the lesion, the patient developed severe hypoventilation unresponsive to both hypoxia and hypercapnia. Weaning from mechanical ventilation could be achieved through central respiratory stimulation by acetazolamide. Problems associated with respiratory management of central hypoventilation due to a brainstem lesion are described.
我们描述了一名患有脑干海绵状血管瘤的患者，该患者最初依赖低氧呼吸驱动。病变切除后，患者出现严重的通气不足，对低氧和高碳酸血症均无反应。通过乙酰唑胺进行中枢性呼吸刺激可实现机械通气的撤机。本文描述了因脑干病变导致中枢性通气不足的呼吸管理相关问题。
