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重型颅脑损伤患者脑室液压力持续监测中的预后指标

Prognostic signs during continuous monitoring of the ventricular fluid pressure in patients with severe brain injury.

作者信息

Tsementzis S A, Gordon A, Gillingham F J

出版信息

Acta Neurochir Suppl (Wien). 1979;28(1):78-84. doi: 10.1007/978-3-7091-4088-8_16.

Abstract

The presence of CSF in cases with intracranial hypertension is a favourable prognostic sign; its absence is indicative of a progressive and potentially lethal intracranial hypertension. 2. A series of characteristic changes in the absolute value of the VFP as well as in the amplitude and rate of the cerebral pulse can provide reliable evidence of the integrity of the cerebral circulation. 3. Short-lasting disappearance of the diastolic pressure towards the end of the ultimate plateau wave and subsequent significant lowering of both the systolic and diastolic pressures is an additional bad prognostic sign.

摘要

颅内高压病例中脑脊液的存在是一个良好的预后标志;脑脊液缺失则表明颅内高压呈进行性且有潜在致命性。2. 静脉血流参数(VFP)绝对值以及脑脉搏的幅度和速率的一系列特征性变化可为脑循环的完整性提供可靠证据。3. 在最终平台波末期舒张压短暂消失,随后收缩压和舒张压均显著降低是另一个不良预后标志。

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