Haberer J P, Hottier E
Département d'Anesthésie-Réanimation, CHU de Brabois, Vandoeuvre-lès-Nancy.
Ann Fr Anesth Reanim. 1990;9(3):212-9. doi: 10.1016/s0750-7658(05)80173-x.
Ischaemic brain damage can follow global cerebral hypoxia, localized cerebral hypoxia and global cerebral anoxia as it occurs after circulatory arrest. The calcium-ion-mediated mechanism is one of the main routes to cerebral deterioration. Barbiturates are restricted for treatment of increased intracranial pressure and seizures. Calcium channel blockers cannot yet be recommended. Therapy remains mainly symptomatic. Hyperglycaemia should be avoided.
缺血性脑损伤可继发于全脑缺氧、局部脑缺氧以及循环骤停后出现的全脑无氧血症。钙离子介导机制是导致脑功能恶化的主要途径之一。巴比妥类药物仅用于治疗颅内压升高和癫痫发作。目前尚不推荐使用钙通道阻滞剂。治疗仍主要以对症治疗为主。应避免高血糖。