【正文】
正常生理情況下,腦代謝正常,腦血流與腦代謝成配比關(guān)系,腦氧攝取率處于正常范圍〔 24%~42%〕 第二十六頁,共二十六頁。 內(nèi)容總結(jié) 嚴(yán)重腦外傷非手術(shù)治療的進(jìn)展。 ? 〔1〕 Jent B,Teasdale G,Galbraith S,et head injuries in three Neurol Neurosurg Psychiatry,1977,40:291298. 〔 2〕 Marshall L F,Gautille T,Melville R,et oute of severe closed head ,75:S28S36. 〔 3〕 Bullock R,Chesnut R M,Clifton G,et for the management of severe head Neurotrauma,1996,13:639731. 〔 4〕 Rosner M J,Ronsner S D,Johnson A perfusion pressure:management protocal and clinical Neurosurg,1995,83:949962. 〔 5〕 Stocchetii N,Rossi S,Buzzi F,et hypertension in head injury:management and Care Med,1999,25:371376. 〔 6〕 Wise B M,Chatile value of hypertonic mannitol solution in decreasing brain mass and lowering cerebrospinal fluid Neurosurg,1962,19:10381043. 〔 7〕 Shenkin H A,Bezier H S,Bouzarth W fluid intake:rational management of the neurosurgical Neurosurg,1976,45:432436. 〔 8〕 Zornow M H,Prough D management in patients with traumatic brain Horiz,1995,3:488497. 〔 9〕 Pietropaoli J A,Rogers F B,Shackford S R,et deleterious effects of intraoperative hypotension on oute in patients with severe head Trauma,1992,33:403407. 〔 10〕 Gemma M,Cozzi S,Piccoli S,et fluid therapy following brain stem Neurosurg Anesth,1996,8:137141. 〔 11〕 Fisher B,Thomas D,Peterson saline lowers raised intracranial pressure in children after head Neurosurg Anesth,1992,4:410. 〔 12〕 Suarez J I,Qureshi A I,Bhardwaj A,et of refractory intracranial hypertension with % Care Med,1998,26:11