Nikiforov B M, Zubkov Iu N, Semeniutin V B
Zh Vopr Neirokhir Im N N Burdenko. 1985 Mar-Apr(2):7-13.
The authors analyse the course of the immediate postoperative period in 27 patients with ruptured arterial aneurysms of the cerebral vessels. The dynamics of the local cerebral blood flow and electric resistance of the brain matter were examined for a comprehensive study of changes in cerebral circulation and metabolism. Intracranial pressure (ventricular and subdural) and mechanical resistance of the brain matter were measured with the M-34 mingograph. Such combination of the examination methods and the findings of neurological examination made it possible to study over time the pathological processes which are interconnected (circulation-metabolism-edema and swelling of the brain) and determine the course of the postoperative period. A dependence between the preoperative condition of patients and the course of the immediate postoperative period was revealed, adequate methods for correction of the pathological reactions are suggested, and the specific features of a complex clinico-physiological control in this category of patients and the informativeness of the different methods of examination are discussed.
作者分析了27例脑血管破裂性动脉瘤患者术后即刻阶段的病程。检测了局部脑血流量和脑实质电阻的动态变化，以全面研究脑循环和代谢的变化。使用M-34型记纹器测量颅内压（脑室和硬膜下）和脑实质的机械阻力。这些检查方法与神经学检查结果的结合，使得能够长期研究相互关联的病理过程（循环-代谢-脑水肿和脑肿胀），并确定术后阶段的病程。揭示了患者术前状况与术后即刻阶段病程之间的相关性，提出了纠正病理反应的适当方法，并讨论了这类患者复杂临床生理控制的特点以及不同检查方法的信息量。
