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作者报导用硫贲妥钠(Thiopental Sodium下称TS)持续数天输入治疗二例对传统降颅压措施无效的严重颅内高压患者,取得了满意疗效。摘要报告如下: 例1.14岁男孩因剧烈头痛伴呕吐三周,疑为颅内占位性病变入院,经CT及脑血管造影证实右顶颞区一巨大肿块,脑中线波左移,术前使用了地塞米松甘露醇。手术摘除肿瘤经病理证实为淋巴瘤。硬膜下留置一测压管以监测颅内压(ICP),术后转入监护病房,当时神志清楚,右侧偏瘫,ICP2mmHg,5小时后ICP升至27mmHg,昏迷。立即人工通气,甘露醇及速尿注射,但均无
The authors report that satisfactory results have been achieved with two consecutive days of treatment with Thiopental Sodium (TS) as input for the treatment of two patients with severe intracranial hypertension who are ineffective with conventional reduction of intracranial pressure. Summary report is as follows: Example 1.14-year-old boy with severe headache with vomiting for three weeks, suspected intracranial space-occupying lesions admitted to the hospital by CT and cerebral angiography showed a large right parietal temporal mass, left brain line wave shift, preoperative use Dexamethasone mannitol. Surgical removal of the tumor confirmed by pathology for lymphoma. Subdural catheter was placed under a pressure to monitor intracranial pressure (ICP), after the transfer to the intensive care unit, when conscious, right hemiplegia, ICP2mmHg, 5 hours after ICP rose to 27mmHg, coma. Immediate artificial ventilation, mannitol and furosemide injection, but none