Hayashi M, Kobayashi H, Handa Y, Kawano H, Kabuto M, Ishii H, Tsuji T
No To Shinkei. 1985 Mar;37(3):249-54.
The intracranial pressure, systemic blood pressure, respiratory pattern and heart rate were studied polygraphically in five patients with plateau waves in continuous intracranial pressure recording. Three brain-tumor patients and two benign intracranial hypertension patients were included. The intracranial pressure was recorded through an indwelling ventricular catheter attached to a pressure transducer. The systemic blood pressure was recorded through an intraarterial catheter placed in the femoral artery. The recordings were made from 18 to 40 hours and a total of 770 plateau waves were examined in this study. The systemic blood pressure showed little or no change in spite of a marked rise in intracranial pressure. The respiratory alterations were always noted during the plateau waves. This respiratory changes during the plateau waves were assigned into three patterns. The first was the suppressed respiratory pattern during the entire course of the plateau waves (Type I): the second was the pattern characterized by the initial suppression followed by the late hyperventilation (Type II); and the third was the hyperventilation pattern during the entire course of the plateau waves (Type III). The pattern of Type I was noticed in 65% of the observed plateau waves, the pattern of Type II in 23%, and the pattern of Type III in 12%. The heart rate decreased in most plateau waves, but there was little change in the heart rate in some plateau waves.(ABSTRACT TRUNCATED AT 250 WORDS)
对5例颅内压持续记录显示有高原波的患者进行了多导记录，研究其颅内压、体循环血压、呼吸模式和心率。其中包括3例脑肿瘤患者和2例良性颅内高压患者。通过连接压力传感器的留置脑室导管记录颅内压。通过置于股动脉的动脉内导管记录体循环血压。记录时间为18至40小时，本研究共检查了770个高原波。尽管颅内压显著升高，但体循环血压几乎没有变化或没有变化。在高原波期间总是会注意到呼吸改变。高原波期间的这种呼吸变化分为三种模式。第一种是在高原波的整个过程中呼吸抑制模式（I型）；第二种是以初始抑制随后晚期过度通气为特征的模式（II型）；第三种是在高原波的整个过程中过度通气模式（III型）。在观察到的高原波中，65%为I型模式，23%为II型模式，12%为III型模式。大多数高原波中心率下降，但在一些高原波中心率变化不大。（摘要截于250字）
