用于血管痉挛的四重H疗法。
Quadruple H therapy for vasospasm.
作者信息
Walid M Sami, Zaytseva Nadezhda V
机构信息
Medical Center of Central Georgia, Macon, USA.
出版信息
Ann Indian Acad Neurol. 2009 Jan;12(1):22-4. doi: 10.4103/0972-2327.48847.
Abstract
Triple H therapy has been enthusiastically used to increase cerebral blood flow in cases of vasospasm. Nevertheless, the oxygen-carrying capacity of the blood is lowered with this treatment. This side effect can theoretically be partially corrected using hyperbaric oxygen therapy (HBO) which appears to be the missing ring in the above therapeutic regimen. We conducted a review of of the available evidence regarding the beneficial effects of HBO in preventing postoperative ischemic complications due to vasospasm after surgery on ruptured cerebral aneurysms and the rationale for including HBO into the standards of care of these difficult patients.
摘要
三联H疗法已被广泛用于增加血管痉挛患者的脑血流量。然而，这种治疗会降低血液的携氧能力。理论上，这种副作用可以通过高压氧疗法（HBO）得到部分纠正，而高压氧疗法似乎是上述治疗方案中缺失的一环。我们对现有证据进行了综述，这些证据涉及高压氧疗法在预防破裂性脑动脉瘤手术后因血管痉挛引起的术后缺血性并发症方面的有益作用，以及将高压氧疗法纳入这些疑难患者护理标准的理论依据。
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