Zvonkov N A, Gorchakov V V
Vopr Neirokhir. 1976 May-Jun(3):29-34.
The paper is based on the authors' personal experience in the employment of general and craniocerebral hypothermia in 90 patients operated on for brain tumours. The most rational level of hypothermia is that of 30-31 degrees C body temperature. Craniocerebral hypothermia induced by the "Holod-2F" apparatus permits to reduce the cortical temperature to 26-28 degrees C, maintaining that of the body within 30-32 degrees C. Such temperature gradient permits to avoid the danger of ventricular fibrillation. In the majority of cases, surgery under craniocerebral hypothermia is free of brain oedema. The postoperative course is also free of brain oedema and pneumonia. Tabulated statistical processing presents the data on the speed and degree of cooling in different parts of the body with reference to the age and body weight of the patient, to the method of cooling, and to the temperature of the cooling fluid.
本文基于作者在90例脑肿瘤手术患者中应用全身及颅脑低温的个人经验。最合理的低温水平是体温达到30 - 31摄氏度。使用“Holod - 2F”设备诱导的颅脑低温可使皮层温度降至26 - 28摄氏度，同时将体温维持在30 - 32摄氏度。这样的温度梯度可避免心室颤动的危险。在大多数情况下，颅脑低温下的手术不会出现脑水肿。术后过程也不会出现脑水肿和肺炎。列表统计处理展示了不同身体部位的降温速度和程度的数据，这些数据涉及患者的年龄、体重、降温方法以及冷却液的温度。
