Continuous recording of the ventricular-fluid pressure in patients with severe acute traumatic brain injury. A preliminary report.
Continuous recording of the ventricular-fluid pressure in patients with severe acute traumatic brain injury. A preliminary report.
复制标题
连续记录严重急性创伤性脑损伤患者的心室液体压力。
作者：
N. Lundberg;H. Troupp;H. Lorin
M EASUREMENTS of the spinal-fluid pressure by means of lumbar puncture in cases of acute injury of the head have been repol~ed and the value of such measurements has been discussed by Russell, 17 Munro, 13 Busch, 2 Rowbotham 16 and several other investigators. 1,5 In order to s tudy intracranial dynamics, Ryder et al. TM recorded the spinal-fluid pressure continuously in a few patients with acute injury of the brain. The cerebrospinal-fluid pressure has also been measured in animals after experimentally induced t r auma to the head. 3,1~,2~ Obvious interest has thus been shown in the changes of intracranial pressure in t raumatic injury of the brain. However, no at tempts have been made, either experimentally or clinically, to s tudy, by continuous recording, the variations of this pressure during the acute stage. On the whole, present-day t rea tment of pos t t raumat ic intracranial hypertension is based on rather f ragmentary knowledge. In our depar tment continuous recording of the ventricular-fluid pressure has been used routinely for several years in a total number of 368 nontraumat ic eases of intracranial hypertension. In our experience TM the technique has proved to be safe and we have found considerable practical value in controlling the ventricular-fluid pressure. On this basis we decided to use continuous control of the ventricular-fluid pressure in eases of t raumatic injury of the brain. This is a preliminary report on the first 30 patients, illustrated by a few representative cases. The recording t ime ranged between 1
