Künzel B, Klages G, Meier U
Neurotraumatologischen Klinik, Städtischen Krankenhauses, Berlin-Friedrichshain.
Zentralbl Neurochir. 1987;48(4):320-6.
A new mathematical method is presented for calculation of cerebrospinal fluid (CSF) parameters. Intrathecal lumbal infusion test with constant flow technique was used. Resistance to CSF outflow R(p) and compliance C(p) are computed by continuous comparing the change of pressure response dp/dt during infusion and--dp/dt after infusion. Using of this method, it is not necessary to determine the pressure plateau at the steady-state between artificial volume loading and the rate of CSF outflow. With that we were able to minimize the physical load on the patient. The expressiveness of investigation is increased by printing graphs of pressure-dependent resistance CSF outflow and compliance.
提出了一种计算脑脊液(CSF)参数的新数学方法。采用恒流技术进行鞘内腰椎输注试验。通过连续比较输注期间压力响应dp/dt的变化和输注后-dp/dt来计算脑脊液流出阻力R(p)和顺应性C(p)。使用这种方法,无需确定人工容量负荷与脑脊液流出速率之间稳态时的压力平台。借此,我们能够将患者的身体负担降至最低。通过打印压力依赖性脑脊液流出阻力和顺应性的图表,提高了研究的表现力。