Schranz D, Zepp F, Baum V, Schmitt-Mechelke T, Zimmer B, Huth R, Wippermann C F
Universitäts-Kinderklinik, Mainz.
Monatsschr Kinderheilkd. 1991 Oct;139(10):664-9.
Ischemia and hypoxia are frequent potential sources of secondary brain damage after a variety of brain injuries. Cerebral oxygen extraction may be altered by coma as well as therapeutic interventions. In consequence, monitoring of cerebral O2 availability and utilization has become an important challenge for clinicians. However, measurement of cerebral oxygen extraction in children currently is not included into routine clinical care. This paper describes the measurement of O2-saturation in the jugular bulb in four comatose infants and children (in one continuously) following cardiac arrest or head injury. Our data demonstrate that this procedure served as a valuable tool in the management of those patients. Arterio-jugular oxygen content and lactate differences were used for the establishment and adjustment of therapeutic procedures and moreover, provided relevant information for the interpretation of other cerebral surveillance parameters.
缺血和缺氧是各种脑损伤后常见的继发性脑损伤潜在来源。脑氧摄取可能会因昏迷以及治疗干预而发生改变。因此，监测脑氧供应和利用情况已成为临床医生面临的一项重要挑战。然而，目前儿童脑氧摄取的测量尚未纳入常规临床护理。本文描述了在4名心脏骤停或头部受伤后的昏迷婴幼儿（其中1名持续监测）中测量颈静脉球部氧饱和度的情况。我们的数据表明，该方法是管理这些患者的一种有价值的工具。动 - 颈静脉氧含量和乳酸差值被用于制定和调整治疗方案，此外，还为解释其他脑监测参数提供了相关信息。
