Marchau M, Calliauw L, Polderman J
Neurochirurgie. 1980;26(4):299-304.
We have studied the lactate-level in the CSF of 40 patients with a severe head injury. After a first group of 20 patients we concluded that those levels were usefull for predicting the outcome of those patients. After receiving new informations about the normal metabolism of lactate in the CSF of man and animals, we became more suspicious. Therefore we have studied a new group of 20 patients. The levels of lactate, pyruvate, pH, pC02 and p02 were checked both in the CSF and in the blood for a longer period. An own coma-scale was used. The results are discussed.
我们研究了40例重型颅脑损伤患者脑脊液中的乳酸水平。在研究了第一组20例患者后，我们得出结论，这些水平有助于预测这些患者的预后。在获得有关人和动物脑脊液中乳酸正常代谢的新信息后，我们变得更加怀疑。因此，我们研究了新的一组20例患者。在更长的时间段内，对脑脊液和血液中的乳酸、丙酮酸、pH值、二氧化碳分压和氧分压水平进行了检测。使用了自行设计的昏迷评分量表。对结果进行了讨论。
