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术中应用亚低温减轻脑肿瘤患者术后脑水肿的体会 被引量：1

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摘要 目的:探讨亚低温在脑肿瘤手术治疗过程中减轻术后脑水肿的效果。方法:将60例脑肿瘤切除术患者随机分为两组各30例,实验组应用降温毯结合酒精纱布湿敷肘窝、腋窝、髂窝、腘窝等大动脉搏动处,保持肛温于亚低温水平(33～35℃);对照组不用降温措施。两组所用常规措施相同,术中持续监测心电图、血氧饱和度、体温、脉搏、血压。根据头颅磁共振成像按多田氏法计算脑水肿的体积,比较两组手术后第1天、第4天、第7天脑水肿的体积。结果:实验组脑水肿体积较对照组明显减少,两组比较有显著性差异(P<0.01)。结论:在脑肿瘤手术后应用亚低温可明显减轻脑水肿。
作者 梁滔岩 李月清 崔芙蓉
机构地区 聊城市人民医院脑科医院
出处 《齐鲁护理杂志》 2007年第2期16-17,共2页 Journal of Qilu Nursing
关键词 手术 脑肿瘤 亚低温 脑保护 脑水肿
分类号 R739.4 [医药卫生—肿瘤] R473.73 [医药卫生—护理学]
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  • 1[1]Chebotareva NM,Vyborov MP.Dynamic of cerebrospinal fluid,venousand arterial pressure following the administration of mannitol.VoprNeirokhir,1966,30(5):48-50.
  • 2[2]Silver P,Nimkoff L,Siddiqi Z,et al.The effect of mannitol on intracranial pressure in relation to serum osmolality in a cat model of cerebral edema.Intensive Care Med,1996,22(5):434-438.
  • 3[3]Nau R.Osmotherapy for elevated intracranial pressure:a criticalreappraisal.Clin Pharmacokinet,2000,38(1):23-40.
  • 4[4]Kaufmann AM,Cardoso ER.Aggravation of vasogenic cerebral edema by multiple-dose mannitol.J Neurosurg,1992,77(4):584-589.
  • 5[5]Bereczki D,Liu M,Prado GF,et al.Cochrane report:a systematic review of mannitol therapy for acute ischemic stroke and cerebralparenchymal hemorrhage.Stroke,2000,31 (11):2719-2722.
  • 6[6]Holtmannspotter M,Schoch A,Baethmann A,et al.Intracranial hypertension influences the resolution of vasogenic brain edema followingintracerebral hemorrhage.Acta Neurochir ,2000,76 (Suppl 3):497-499.
  • 7[7]Fernandes HM,Siddique S,Banister K,et al.Continuous monitoringof ICP and CPP following ICH and its relationship to clinical,radiological and rurgical parameters.Acta Neurochir,2000,76(Suppl 3):463-466.
  • 8[8]Schierhout G,Roberts I.Mannitol for acute traumatic brain injury.Cochrane Database Syst Rev,2000,2:cd001049.
  • 9[9]Cruz J,Minoja G,Okuchi K,et al.Major clinical and physiologicalbenefits of early high doses of mannitol for intraparenchymal temporal lobe hemorrhages with abnormal papillary widening:a randomizedtrial.Neurosurgey,2002,51 (3):628-638.
  • 10[10]Culver B,Inzana K.Jones J,et al.Technique of,and complications attributable to,repeated hyperosmotic blocd-brain barrier disruptionin dogs.Am J Vet Res,1998,59(1 1):1503-1510.

共引文献31

同被引文献20

  • 1徐如祥.创伤性脑水肿研究进展[J].中国现代神经疾病杂志,2004,4(3):141-145. 被引量：19
  • 2唐超,薛洪利.内皮素与创伤性脑水肿[J].国外医学（神经病学．神经外科学分册）,2004,31(4):394-397. 被引量：4
  • 3周冀英,贾建平.颅内压监测与脑血管疾病的研究现状[J].中国药物与临床,2004,4(4):245-248. 被引量：9
  • 4Reijerkerk A, Lakeman KA, Drexhage JA, et al. Brain endo- thelial barrier passage by monocytes is controlled by the endo- thelin system. Neurochem, 2012, 121 (5): 730-731.
  • 5Sehinelli S. The brain endothelin system as potential target for brain-related pathologies. CNS and neurological disorders, 2002, 1(6) : 543 -553.
  • 6赵继宗,周良辅.神经外科学(第一版).人民卫生出版社,2007.52-53.
  • 7Mihara SI, Ninomiya M. Protective effect of endothelin in type A receptor antagonist on brain edema and injury after transient middle cerebral artery occlusion in rats. Stroke, 2001, 32 (9) : 2143-2148.
  • 8Michinaga S, Ishida A, Takeuchi R et al, Endothelin-1 Stimulates Cyclin D 1 Expression in Rat Cultured Astrocytes via Activation of Spl. Neurochemistry international, 2013 , 63 (1) : 25-34.
  • 9Dhaun N, Pollock DM, Goddard J. et a l. Selective and mixed endothelin receptor antagonism in cardiovascular disease. Trends in Pharmacological Sciences, 2007 , 28 ( l 1 ) : 573-579.
  • 10Bocci V. The case for oxygen-ozonetherapy, british journal of biomedical science, 2007, 6 ( 1 ) : 44-49.

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齐鲁护理杂志
2007年 第2期

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