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急性实验性脊髓损伤中高碳酸血症和低碳酸血症的治疗试验

Therapeutic trial of hypercarbia and hypocarbia in acute experimental spinal cord injury.

作者信息

Ford R W, Malm D N

出版信息

J Neurosurg. 1984 Nov;61(5):925-30. doi: 10.3171/jns.1984.61.5.0925.

DOI:10.3171/jns.1984.61.5.0925
PMID:6436448
Abstract

Hypocarbia, normocarbia, or hypercarbia was maintained for an 8-hour period beginning 30 minutes after acute threshold spinal cord injuries in cats. No statistically significant differences in neurological recovery or histologically assessed tissue preservation were found among the three groups of animals 6 weeks after injury. No animal recovered the ability to walk. It is concluded that maintenance of hypercarbia or hypocarbia during the early postinjury period is no more therapeutic than maintenance of normocarbia. Mortality rates and tissue preservation data suggest, however, that postinjury hypocarbia may be less damaging than hypercarbia.

摘要

在猫急性阈值脊髓损伤30分钟后开始,将低碳酸血症、正常碳酸血症或高碳酸血症维持8小时。损伤6周后,三组动物在神经功能恢复或组织学评估的组织保存方面未发现统计学上的显著差异。没有动物恢复行走能力。得出的结论是,在损伤后早期维持高碳酸血症或低碳酸血症并不比维持正常碳酸血症更具治疗效果。然而,死亡率和组织保存数据表明,损伤后的低碳酸血症可能比高碳酸血症的损害更小。

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Therapeutic trial of hypercarbia and hypocarbia in acute experimental spinal cord injury.急性实验性脊髓损伤中高碳酸血症和低碳酸血症的治疗试验
J Neurosurg. 1984 Nov;61(5):925-30. doi: 10.3171/jns.1984.61.5.0925.
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Acute spinal cord injury: monitoring and anaesthetic implications.急性脊髓损伤:监测及麻醉相关问题
Can J Anaesth. 1991 May;38(4 Pt 2):R60-73. doi: 10.1007/BF03008435.