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[颅脑损伤急性期的高压氧治疗]

[Hyperbaric oxygenation in the acute period of craniocerebral injuries].

作者信息

Isakov Iu V, Anan'ev G V, Romasensko M V, Aĭde Kh B

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1982;82(5):7-12.

PMID:7102202
Abstract

A study was made of the effect of hyperbaric oxygenation (HBO) on the clinical progress of craniocerebral trauma by means of a comparative analysis of the time course of the clinical symptoms and the occurrence of complications seen in the main group of patients given HBO (103 subjects) and the control group not given HBO (also 103 subjects). Some of the parameters of external respiration and central hemodynamics were examined in these patients during HBO. It was disclosed that HBO exerts a prophylactic action as regards the development of mental disorders in the acute period of brain trauma and some complications (meningitis, suppuration of operative wound, bedsores, pneumonias). HBO had no noticeable effect on the rate and degree of the recovery of motor and speech functions. In part of cases, HBO eliminated the hyperventilation syndrome and the pathological rhythm of respiration and myocardial hypodynamia.

摘要

通过对接受高压氧治疗(HBO)的主要患者组(103例)和未接受HBO的对照组(同样103例)的临床症状病程及并发症发生情况进行对比分析,研究了高压氧治疗(HBO)对颅脑创伤临床进程的影响。在这些患者接受HBO治疗期间,对其一些外呼吸和中心血流动力学参数进行了检查。结果显示,HBO对脑创伤急性期精神障碍及一些并发症(脑膜炎、手术伤口化脓、褥疮、肺炎)的发生具有预防作用。HBO对运动和言语功能的恢复速度及程度没有明显影响。在部分病例中,HBO消除了过度通气综合征、呼吸病理节律和心肌动力不足。

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