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[胸骨旁肿瘤切除术中患者双侧记录的脑电双频指数值的矛盾动态变化(临床病例)]

[Paradoxical dynamics in the values of bispectral index for bilateral registration in a patient during parastem tumor removal (a clinical case)].

作者信息

Lubnin A Iu, Salova E M, Konovalov A N, Kopachev V A

出版信息

Anesteziol Reanimatol. 2010 May-Jun(3):18-22.

PMID:20734841
Abstract

The paper describes an unusual clinical case. During a neurosurgical operation (removal of parastem tumor (neuroma) on the right side), bilateral registration of the bispectal index (BSI) in order to monitor a hypnotic component of anesthesia showed that the tumor removal stage was marked by a paradoxical reaction of the BSI as an increase in its values up to 70-80% (corresponds to the patient's emergence) on the right, ipsilaterally, with the preserved low BSI values on the left--30-40%. Possible explanations of the observed are considered.

摘要

本文描述了一个不寻常的临床病例。在一次神经外科手术(切除右侧茎旁肿瘤(神经瘤))过程中,为监测麻醉的催眠成分而双侧记录双侧频谱指数(BSI),结果显示肿瘤切除阶段的特点是BSI出现矛盾反应,右侧(同侧)其值增加至70 - 80%(相当于患者苏醒),而左侧的BSI值仍保持在较低水平——30 - 40%。文中考虑了对所观察到情况的可能解释。

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