重型化脓性脑膜炎时颅内压的监测

• 作 者: 赵钰麟
• 出 处: 国外医学(内科学分册)
• 发表日期: 1983年11期
• 关键词: 化脓性脑膜炎 小脑扁桃体 脑血流量 颅内压 急性期 脑室 脑疝 脑水肿 双侧瞳孔散大 特效治疗

在化脓性脑膜炎的急性期,病人可因脑水肿所导致的脑组织嵌顿(脑疝)而死亡。脑扫描图可显示脑水肿病变,并可精确地估计脑水肿对脑室影响的程度。为了预防最常发生的颜叶钩回与小脑扁桃体汕的危险,可及早给予特效治疗。除了旨在减少脑血流量而采用的治疗方法外,宜维持较高的巴比妥血内浓度,以保证大脑的良好休息。

In the acute phase of purulent meningitis, patients may die of brain tissue incarceration (herniation) caused by cerebral edema. Brain scan can show cerebral edema lesions, and can accurately estimate the extent of brain edema on the impact of the ventricle. In order to prevent the most common occurrence of petiole and tonsils, the special treatment can be given as soon as possible. In addition to the treatments used to reduce cerebral blood flow, it is advisable to maintain high intra-arterial concentrations of barbiturate to ensure a good brain rest.