Analysis of the response to therapeutic measures to reduce intracranial pressure in head injured patients.
Analysis of the response to therapeutic measures to reduce intracranial pressure in head injured patients.
复制标题
头部受伤患者对降低颅内压治疗措施的反应分析。
DOI:
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发表时间:
1976
期刊:
影响因子:
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通讯作者:
V. S. Kumar
中科院分区:
文献类型:
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作者:
H. James;T. Langfitt;V. S. Kumar
Five methods of therapy for increased ICP were used in the treatment of 32 head-injured patients. The effects of steroids could not be evaluated. Withdrawal of CSF was always effective because intracranial volume was reduced and pressure must follow, but because of brain swelling and collapse of the ventricular system in this group of patients, it was not an effective permanent form of therapy. Hypertonic Mannitol reduced ICP in nearly every case irrespective of the degree of brain damage or the height of ICP. Hyperventilation was least effective in the most severely ill patients, presumably due to the non-responsiveness of the cerebral vessels to changes in PaCO2. The poorest response of ICP seemed to be with hypothermia.