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[神经外科手术中脑水肿的预防]

[Prophylaxis of brain edema in neurosurgical operations].

作者信息

Tigliev G S, Borshchagovskiĭ M L, Dubikaĭtis Iu V

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1987 Jul-Aug(4):15-21.

PMID:3673425
Abstract

Rational surgical approaches providing for preservation of the arteries and veins of the brain and minimal mechanical damage to it during the removal of tumors, the use of adequate anesthesia which prevents the development of vegetative reactions of central origin, and postoperative correction of the patients' condition under clinical and physiological control allow the development of cerebral edema to be prevented. Experience in the management of 1,447 patients with intracranial, mainly extracerebral, tumors showed that postoperative lethality can be reduced from 27.0 to 4.3%.

摘要

合理的手术方法可在切除肿瘤时保护脑动脉和静脉,并使对脑的机械损伤降至最低;使用适当的麻醉以防止中枢性植物神经反应的发生;在临床和生理监测下对患者术后状况进行纠正,从而可预防脑水肿的发生。对1447例颅内(主要为脑外)肿瘤患者的治疗经验表明,术后死亡率可从27.0%降至4.3%。

相似文献

1
[Prophylaxis of brain edema in neurosurgical operations].[神经外科手术中脑水肿的预防]
Zh Vopr Neirokhir Im N N Burdenko. 1987 Jul-Aug(4):15-21.
2
[Postoperative edema in brain tumors].
Zh Vopr Neirokhir Im N N Burdenko. 1989 Jan-Feb(1):3-7.
3
[Clinical aspects and surgical therapy of cerebral gliomas].[脑胶质瘤的临床特征与外科治疗]
Minerva Med. 1984 May 19;75(21):1305-11.
4
[Mechanisms of development of brain edema in neurosurgical pathology].[神经外科病理学中脑水肿的发展机制]
Vestn Akad Med Nauk SSSR. 1991(7):7-13.
5
[The control of the regulatory system of intracranial blood circulation in neurosurgical patients].[神经外科患者颅内血液循环调节系统的控制]
Zh Vopr Neirokhir Im N N Burdenko. 1992 Jul-Oct(4-5):26-9.
6
[Evaluation of cerebral blood flow in postoperative increased intracranial pressure].
Neurol Neurochir Pol. 1986 Jul-Aug;20(4):341-6.
7
[Haemodilution in neurosurgical operations (author's transl)].神经外科手术中的血液稀释(作者译)
Anaesthesist. 1976 Apr;25(4):167-9.
8
[Brain edema as a cause of critical states in neurosurgical patients].[脑水肿作为神经外科患者危急状态的一个原因]
Anesteziol Reanimatol. 1990 Nov-Dec(6):22-6.
9
[Features of the surgical treatment and immediate postoperative period of patients in the acute period of rupture of arterial aneurysms of the cerebral vessels].[脑血管动脉瘤破裂急性期患者的外科治疗及术后即刻情况的特点]
Zh Vopr Neirokhir Im N N Burdenko. 1985 Mar-Apr(2):7-13.
10
[Validation of the use of the CO2 laser in operations on the brain].[二氧化碳激光在脑部手术中的应用验证]
Zh Vopr Neirokhir Im N N Burdenko. 1989 Nov-Dec(6):50-4.