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儿童脑内微透析

Intracerebral microdialysis in children.

作者信息

Charalambides Constantinos, Sgouros Spyros, Sakas Damianos

机构信息

Division of Pediatric Neurosurgery, Department of Neurosurgery, Attikon University Hospital, Rimini 1, Chaidari, 124 62 Athens, Greece.

出版信息

Childs Nerv Syst. 2010 Feb;26(2):215-20. doi: 10.1007/s00381-009-1031-3. Epub 2009 Nov 26.

Abstract

INTRODUCTION

Cerebral microdialysis is a relatively new, minimally invasive technique that permits sampling and analyzing the chemical constituents of the extracellular fluid. Although mainly used as a research tool, it is also used in the neurointensive care, in combination with other monitoring methods, in patients with severe traumatic brain injury and subarachnoid hemorrhage. Its main clinical utility is the identification of markers of ischemia and cell damage with the ultimate goal of preventing any secondary insults to the brain by instituting early appropriate treatment measures. With few exceptions, all the available data on intracerebral microdialysis in humans comes from studies performed in adults.

OBJECTIVE

The purpose of this report is to provide a brief review of the intracerebral microdialysis studies performed in children.

CONCLUSION

Differences in trends of concentrations of structural and excitatory amino acids have been identified in children, in comparison to those observed in adults, the significance of which remains unknown at present.

摘要

引言

脑微透析是一种相对较新的微创技术,可用于对细胞外液的化学成分进行采样和分析。尽管它主要用作研究工具,但在神经重症监护中,它也与其他监测方法结合使用,用于重度创伤性脑损伤和蛛网膜下腔出血的患者。其主要临床用途是识别缺血和细胞损伤的标志物,最终目标是通过采取早期适当的治疗措施来预防对大脑的任何继发性损伤。除了少数例外,所有关于人类脑内微透析的现有数据均来自对成人进行的研究。

目的

本报告的目的是简要回顾在儿童中进行的脑内微透析研究。

结论

与成人相比,已确定儿童体内结构和兴奋性氨基酸浓度的变化趋势存在差异,目前其意义尚不清楚。

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