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[危重症患者脑水肿与肿胀的诊断及鉴别治疗]

[Diagnosis and differential therapy of edema and swelling of the brain in patients in critical conditions].

作者信息

Novikova R I, Cherniĭ V I, Gorodnik G A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(10):105-8.

PMID:1962983
Abstract

A total of 181 patients found in critical conditions were examined and treated. The use of a complex of neurophysiological studies including brain plethysmography++, rheoencephalography and echoencephalography in patients with encephalopathies made it possible to carry out early and differential diagnosis of brain edema and swelling and to exercise dynamic control over those processes. The basis of the treatment of patients with brain swelling was formed by the drugs that ameliorate microcirculation, cerebral blood flow and brain metabolism. In the treatment of brain edema, use was made of the drugs that normalize blood-brain barrier function and of dehydration therapy.

摘要

共对181名处于危急状态的患者进行了检查和治疗。对脑病患者采用包括脑体积描记法++、脑血流图和脑回波描记术在内的一系列神经生理学研究,使得能够对脑水肿和肿胀进行早期和鉴别诊断,并对这些过程进行动态监测。改善微循环、脑血流量和脑代谢的药物构成了治疗脑肿胀患者的基础。在治疗脑水肿时,使用了使血脑屏障功能正常化的药物以及脱水疗法。

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