de Miranda C M
MMW Munch Med Wochenschr. 1980 Mar 14;122(11):375-8.
Edema of vascular origin, which occurs most frequently of all, is usually due to extensive lesions or traumata. It is the result of a change in vascular permeability and requires treatment with corticosteroids. Edema of cellular origin is characterized by swelling of the glia cells, the neurones and endothelial cells with subsequent reduction of the extracellular space. It is associated with hypo-osmolarity and hypoxia and essentially requires the treatment of the causal damage but also the principal general measures of osmotherapy. Interstitial edema is characterized by an increase in the fluid content in the periventricular extracellular space and is due to obstructive hydrocephalus. This form eventually requires neurosurgical treatment.
血管源性水肿最为常见,通常由广泛的病变或创伤引起。它是血管通透性改变的结果,需要用皮质类固醇进行治疗。细胞源性水肿的特征是神经胶质细胞、神经元和内皮细胞肿胀,随后细胞外间隙减小。它与低渗透压和缺氧有关,主要需要治疗病因性损伤,同时也需要采取主要的一般渗透疗法措施。间质性水肿的特征是脑室周围细胞外间隙的液体含量增加,由梗阻性脑积水引起。这种形式最终需要神经外科治疗。