Abbushi W, Kolb E, Herkt G, Zenker J
Anaesthesist. 1979 Oct;28(10):489-93.
Changes of ICP and CVP during different elevated positionings of the upper part of the body, rotation of the head, and compression of the jugular veins were investigated in 21 patients. Upward positioning leads to ICP-decrease and slight increase of CVP, whereas head rotation and jugular vein compression lead to increased ICP, the CVP remaining almost constant. The pressure changes in the model are equivalent to those in the patients. Therefore it can be assumed that the ICP changes according to positioning are mainly physical phenomena. The conclusion in clinical use: Slight upward positioning with straight head position is optimal in head injured patients.
对21例患者研究了上身处于不同抬高位置、头部旋转和压迫颈静脉期间颅内压（ICP）和中心静脉压（CVP）的变化。上身向上抬高导致ICP降低和CVP轻微升高，而头部旋转和颈静脉压迫导致ICP升高，CVP几乎保持不变。模型中的压力变化与患者的情况相当。因此，可以认为根据体位变化的ICP变化主要是物理现象。临床应用结论：头部受伤患者最佳体位是头部挺直并轻微向上抬高。
