Jurkiewicz J
Resuscitation. 1978;6(3):197-206. doi: 10.1016/s0300-9572(78)80014-8.
The effect of haemodilution with Dextran 60 on experimental cerebral oedema produced by the modified method of Ishii, Hayner, Kelly & Evans (1959) is described. The intracranial pressure was measured from the cisterna magna or epidurally in the parieto-occipital region. In the group of cats subjected to haemodilution, with a haematocrit of 27.20 +/- 1.48%, the intracranial pressure first increased by 500% and, after 1.5 h, began to fall gradually so that at the end of the experiment it was only 160% of initial value. In the other experimental group in which haemodilution with a haematocrit of 27.40 +/- 1.14% was started after 6 h of the experiment, the intracranial pressure gradually fell for the next 6 h from 350% of initial value of 200% of initial value after 12 h. It was concluded that haemodilution slows down the development of cerebral oedema, and can be employed in the treatment of fully developed oedema.
本文描述了用右旋糖酐60进行血液稀释对石井、海纳、凯利和埃文斯(1959年)改良方法所致实验性脑水肿的影响。通过枕大池或顶枕部硬膜外测量颅内压。在接受血液稀释的猫组中,血细胞比容为27.20±1.48%,颅内压首先升高500%,1.5小时后开始逐渐下降,因此在实验结束时仅为初始值的160%。在另一实验组中,实验6小时后开始进行血细胞比容为27.40±1.14%的血液稀释,在接下来的6小时内颅内压从初始值的350%逐渐降至12小时后的200%初始值。得出的结论是,血液稀释可减缓脑水肿的发展,并可用于治疗完全发展的水肿。