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一种新型利尿剂对幕上肿瘤患者脑脊液压力的影响。

Effects of a new diuretic on cerebrospinal fluid pressure in patients with supratentorial tumors.

作者信息

Hartmann A, Schütz H J, Alberti E, Schreckenberger F, Loew D, Dýcka J

出版信息

Arch Psychiatr Nervenkr (1970). 1977 Dec 28;224(4):351-60. doi: 10.1007/BF00341617.

DOI:10.1007/BF00341617
PMID:606206
Abstract

The effect of a new, powerful diuretic on biochemical parameters, urine output, central venous pressure, blood pressure, and cerebrospinal fluid pressure in patients with supratentorial intracerebral tumors who showed signs and symptoms of increased intracranial pressure was tested. When compared to an untreated control group and to the steady-state data of each patient, CSF pressure was significantly reduced using a dose of 240 mg of the diuretic. The 120 mg dosage did not produce significant results. Normalization of increased cerebrospinal fluid pressure was not completely obtained using either dose. Used alone, this substance is not suitable for treatment of increased intracranial pressure due to brain edema in patients with intra-cerebral tumors. It might, however, be useful in combination with other medications.

摘要

测试了一种新型强效利尿剂对幕上脑肿瘤且有颅内压升高体征和症状患者的生化指标、尿量、中心静脉压、血压及脑脊液压力的影响。与未治疗的对照组及每位患者的稳态数据相比,使用240mg剂量的利尿剂时脑脊液压力显著降低。120mg剂量未产生显著效果。两种剂量均未完全实现脑脊液压力升高的正常化。单独使用时,该物质不适用于治疗脑肿瘤患者因脑水肿导致的颅内压升高。然而,它可能与其他药物联合使用时有用。

相似文献

1
Effects of a new diuretic on cerebrospinal fluid pressure in patients with supratentorial tumors.一种新型利尿剂对幕上肿瘤患者脑脊液压力的影响。
Arch Psychiatr Nervenkr (1970). 1977 Dec 28;224(4):351-60. doi: 10.1007/BF00341617.
2
Diuretic synergy in the treatment of acute experimental cerebral edema.
J Neurosurg. 1971 Feb;34(2 Pt 1):203-8. doi: 10.3171/jns.1971.34.2part1.0203.
3
[Therapy of space-occupying intracranial processes (brain edema, brain tumor) and low cerebrospinal fluid pressure].[颅内占位性病变(脑水肿、脑肿瘤)及脑脊液低压的治疗]
Bibl Psychiatr Neurol. 1969;139:678-90.
4
[Effects of furosemide, spironolactone and 6-methylprednisolone on cerebrospinal fluid pressure. Contribution to the treatment of brain edema].
Med Welt. 1982 Jul 30;33(29-30):1054-8.
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The effect of large doses of dexamethasone on the cerebrospinal fluid pressure in patients with supratentorial tumors.大剂量地塞米松对幕上肿瘤患者脑脊液压力的影响。
J Neurol. 1978 Feb 14;217(3):173-81. doi: 10.1007/BF00312958.
6
Mannitol, intracranial pressure and vasogenic edema.甘露醇、颅内压与血管源性水肿
Neurosurgery. 1995 Jun;36(6):1236-7. doi: 10.1227/00006123-199506000-00040.
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[On the oncotherapy of brain edema with fursemid (Lasix) and with hypertonic human albumin solution].[关于速尿(速尿灵)和高渗人白蛋白溶液对脑水肿的肿瘤治疗作用]
Acta Neurochir (Wien). 1967;17(1):32-45. doi: 10.1007/BF01670415.
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[Effect of furosemide and dexamethasone on cerebrospinal fluid pressure in brain tumors].
Med Welt. 1976 Apr 30;27(18):884-6.
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Intracranial pressure monitoring.颅内压监测
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Mannitol, but not allopurinol, modulates changes in cerebral blood flow, intracranial pressure, and brain water content during pneumococcal meningitis in the rat.在大鼠肺炎球菌性脑膜炎期间,甘露醇而非别嘌呤醇可调节脑血流量、颅内压和脑含水量的变化。
Crit Care Med. 1996 Nov;24(11):1874-80. doi: 10.1097/00003246-199611000-00018.

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本文引用的文献

1
[Conservative therapy of increased intracranial pressure].[颅内压升高的保守治疗]
Dtsch Med Wochenschr. 1966 Apr 22;91(16):770-2. doi: 10.1055/s-0028-1110652.
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Continuous simultaneous monitoring of intraventricular and cervical subarachnoid cerebrospinal fluid pressure to indicate development of cerebral or tonsillar herniation.持续同步监测脑室内和颈段蛛网膜下腔脑脊液压力,以提示脑疝或扁桃体疝的发生。
J Neurosurg. 1970 Aug;33(2):145-50. doi: 10.3171/jns.1970.33.2.0145.
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[Treatment of cerebral oedema with high doses of furosemide (author's transl)].
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[Pathophysiology and therapy of brain edema].
Med Klin. 1974 Jan 4;69(1):1-11.
6
[A simple method for continuous measurement of CSF pressure (author's transl)].一种连续测量脑脊液压力的简单方法(作者译)
Acta Neurochir (Wien). 1977;36(3-4):201-14. doi: 10.1007/BF01405392.
7
[Effect of furosemide and dexamethasone on cerebrospinal fluid pressure in brain tumors].
Med Welt. 1976 Apr 30;27(18):884-6.