儿童重症脑炎如何维持合适颅压和脑灌注压

来源 :中国实用儿科杂志 | 被引量 : 0次 | 上传用户:dmf625
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有关重症脑炎颅压和脑灌注压评估与控制,可获得的资料文献资料甚少,本文借鉴来自脑创伤、脑膜炎等研究结果,结合颅内压、脑灌注压以及脑血流的基本概念和影响因素,介绍重症脑炎时颅内压和脑灌注压的评估方法、颅高压的预防和治疗方法与脑灌注压的维持。 For severe encephalitis, assessment and control of intracranial pressure and cerebral perfusion pressure, there is little literature data available. This article draws on the findings from brain trauma, meningitis, etc., combined with the basic concepts of intracranial pressure, cerebral perfusion pressure and cerebral blood flow And influencing factors, the evaluation methods of intracranial pressure and cerebral perfusion pressure in severe encephalitis, the prevention and treatment of intracranial hypertension and the maintenance of cerebral perfusion pressure were introduced.
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儿童重症脑炎是最常见的儿童危重症之一,严重的脑细胞炎性损伤可致死或致残。脑炎过程中也可以发生低血压、低氧血症、颅内压增高、高血糖、低血糖、高体温、贫血、离子紊乱