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犬全身热疗期间的脑温与硬膜外压力

Cerebral temperature and epidural pressure during whole body hyperthermia in dogs.

作者信息

van Rhoon G C, van der Zee J

出版信息

Res Exp Med (Berl). 1983;183(1):47-54. doi: 10.1007/BF01851762.

Abstract

Whole body hyperthermia was performed on 13 anaesthetized and intubated dogs. Cerebral temperature and epidural pressure were measured and related to rectal and oesophageal temperatures. The brain temperature was significantly higher than that of the rectum at normotemperature. The temperature gradients lessened during heating. At maximum rectal temperature (plateau) small differences between the left and right hand sides of the brain were seen, the temperatures being 0.4 degrees C and 0.3 degrees C higher than the rectal temperature, respectively. During the 2-h plateau period the difference between brain and oesophageal temperature became progressively smaller. The mean epidural pressure decreased slightly during the course of the treatment, but remained within the normal range of 1.2 +/- 0.4 KPa (8.7 +/- 2.5 mm Hg). From this investigation may be concluded that (1) the cerebral temperature is reflected better by the oesophageal than by the rectal temperature and (2) the epidural pressure does not increase during whole body hyperthermia for 2 h at a rectal temperature of up to 42.5 degrees C.

摘要

对13只麻醉并插管的犬进行全身热疗。测量脑温及硬膜外压力,并将其与直肠温度和食管温度相关联。在常温下,脑温显著高于直肠温度。加热过程中温度梯度减小。在直肠温度达到最高值(平台期)时,脑左右两侧存在微小差异,温度分别比直肠温度高0.4摄氏度和0.3摄氏度。在2小时的平台期内,脑温与食管温度之间的差异逐渐变小。治疗过程中平均硬膜外压力略有下降,但仍保持在1.2±0.4千帕(8.7±2.5毫米汞柱)的正常范围内。从这项研究可以得出结论:(1)食管温度比直肠温度更能准确反映脑温;(2)在直肠温度高达42.5摄氏度的全身热疗2小时过程中,硬膜外压力不会升高。

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