Novikova R I, Cherniĭ V I, Horodnyk H A, Hryhorenko O P
Lik Sprava. 1996 Jan-Feb(1-2):87-91.
A total of 186 patients with encephalopathies caused by critical states and reanimation were examined. A complex of neurophysiologic studies was proposed involving impedancemetry of the brain, rheoencephalography, echoencephalography, electroencephalography, ophthalmoscopy. The studies made showed that adoption of the proposed complex permits differentiating the processes of edema, swelling, edema-swelling of the brain as well as determining the condition of cerebral bloodflow and assessing the extent of impairement of cerebral homeostasis. Early diagnosis of edema/swelling of the brain enabled the main trends in the differential therapy of the above processes to be outlined and adequacy of its treatments administration to be effectively controlled on an as-needed basis. Differential approach to diagnosis and treatment of edema and swelling of the brain permitted the parameters studied to return to normal in 75.2 percent of the patients.
共对186例由危重症和复苏引起的脑病患者进行了检查。提出了一套神经生理学研究方案，包括脑阻抗测量、脑血流图、脑回波图、脑电图、检眼镜检查。所做的研究表明，采用所提出的这套方案能够区分脑水肿、脑肿胀、水肿 - 肿胀过程，确定脑血流状况，并评估脑内稳态受损程度。早期诊断脑水/肿胀能够勾勒出上述过程的鉴别治疗的主要趋势，并根据需要有效控制其治疗给药的充分性。对脑水和肿胀进行鉴别诊断和治疗的方法使75.2%的患者所研究的参数恢复正常。
