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[山梨醇自动控制输注治疗中脑室液压力的长期行为及其与临床和辅助临床参数的关系]

[Long-term behavior of ventricular fluid pressure in automatically controlled infusion therapy with sorbitol and relation to clinical and paraclinical parameters].

作者信息

Brachmann J, Goldhahn W E, Dietrich J, Geikler M

出版信息

Zentralbl Neurochir. 1987;48(1):9-17.

PMID:3618008
Abstract

104 patients of our clinic suffering from intra-cranial space-occupying cerebral processes were treated in the postoperative phase with a cerebral-pressure dependent automatic system for the control of the sorbitol infusion. On the one hand we compared the resulting long-term pressure behaviour of the VFP (ventricular fluid pressure) with clinical and paraclinical parameters and, on the other, with the consumed sorbitol dose. In this procedure advantages of the automatically dehydrating cerebral oedema therapy could be proved. Moreover, it was possible to find clear relations between the pre-operative general changes in the EEG, the degree of the cerebral oedema in the CT, pre-operatively diagnosed choked papillas and the osmotherapeutical expenditure in the postoperative phase.

摘要

我们诊所的104例患有颅内占位性脑病变的患者在术后阶段采用了一种依赖脑压的自动系统来控制山梨醇输注。一方面,我们将由此产生的VFP(脑室液压力)的长期压力行为与临床和辅助临床参数进行了比较,另一方面与消耗的山梨醇剂量进行了比较。在这个过程中,自动脱水治疗脑水肿的优势得到了证实。此外,还发现术前脑电图的总体变化、CT中脑水肿的程度、术前诊断的视乳头水肿与术后阶段的渗透治疗费用之间存在明确的关系。

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