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颅内压升高的监测与术中管理及减压性颅骨切除术

Monitoring and intraoperative management of elevated intracranial pressure and decompressive craniectomy.

作者信息

Lang Shih-Shan, Kofke W Andrew, Stiefel Michael F

机构信息

Department of Neurosurgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA.

出版信息

Anesthesiol Clin. 2012 Jun;30(2):289-310. doi: 10.1016/j.anclin.2012.05.008.

DOI:10.1016/j.anclin.2012.05.008
PMID:22901611
Abstract

Elevated intracranial pressure can be caused by a variety of underlying conditions. Several physiologic and pharmacologic factors have a significant impact on intracranial hypertension, mostly caused by changes on cerebral blood volume, flow, and oxygenation. There are many therapies that can be used to decrease intracranial pressure ranging from pharmacologic to the surgical decompressive removal of the calvarium. Special consideration is made for the anesthetic management of these patients perioperatively.

摘要

颅内压升高可由多种潜在病症引起。多种生理和药理因素对颅内高压有重大影响，主要是由脑血容量、血流和氧合的变化所致。有许多疗法可用于降低颅内压，从药物治疗到手术减压去除颅骨不等。对于这些患者围手术期的麻醉管理需给予特别考虑。

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