[脑水肿与脑肿胀的鉴别诊断及治疗]

[The differential diagnosis and treatment of brain edema and swelling].

作者信息

Sergienko T M, Brodskaia I A, Kop'ev O V, Spasichenko P V, Verkhogliadov Iu P, Solodarenko A G

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1990 Jul-Aug(4):6-8.

Abstract

Data is reported in evidence of the possibility of using separate impedancemetry for intravital diagnosis of the degree of manifestation and the dynamics of development of brain edema and swelling. The specific features of the effect of mannite, furosemide, sorbitol, dexamethasone, and thiopental sodium on brain edema and swelling were studied in the clinic under control of impedancemetry in patients with craniocerebral trauma of various severity and edema and swelling of different degree of manifestation. Experimental study on a model of intracerebral hemorrhage showed that mannite, furosemide, and dexamethasone act on the dynamics of edema and swelling in phases.

摘要

有数据表明，使用单独的阻抗测量法进行活体诊断脑水肿和肿胀的表现程度及发展动态是有可能的。在不同严重程度的颅脑创伤以及不同表现程度的水肿和肿胀患者中，在阻抗测量法的控制下，于临床研究了甘露醇、呋塞米、山梨醇、地塞米松和硫喷妥钠对脑水肿和肿胀的影响的具体特征。在脑出血模型上进行的实验研究表明，甘露醇、呋塞米和地塞米松对水肿和肿胀的动态变化有阶段性作用。