Ioffe Iu S, Sumskii L I
Zh Vopr Neirokhir Im N N Burdenko. 1977(1):9-14.
Within a set of therapeutic measures the authors employed cranio-cerebral hypthermia with the aid of an air hypotherm in 56 patients with severe skull-brain trauma. The temperature of the convexital cortex was reduced in the majority of cases to 28-30 degrees C, the rectal temperature being preserved at 33-34 degrees C. It was found that craniocerebral hypothermia should be employed in skull-brain injury patients as soon as the presence of a space-occupying intracranial formation requiring a surgical intervention is excluded, or immediately thereafter. The reduction of cerebral metabolism during the colling can be indirectly demonstrated by EEG changes and evoked potentials recordings.
在一系列治疗措施中，作者对56例重度颅脑外伤患者借助空气低温疗法进行了颅脑降温。在大多数病例中，凸面皮质温度降至28 - 30摄氏度，直肠温度保持在33 - 34摄氏度。结果发现，一旦排除需要手术干预的颅内占位性病变，或在此之后应立即对颅脑损伤患者采用颅脑降温。降温过程中脑代谢的降低可通过脑电图变化和诱发电位记录间接证明。
