Tigliev G S, Borshchagovskiĭ M L, Dubikaĭtis Iu V
Zh Vopr Neirokhir Im N N Burdenko. 1987 Jul-Aug(4):15-21.
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%.
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%。