作者: Roman Hlatky , Alex B. Valadka , J. Clay Goodman , Charles F. Contant , Claudia S. Robertson
关键词: Traumatic brain injury 、 Internal medicine 、 Glutamate receptor 、 Microdialysis 、 Hypoxia (medical) 、 Ischemia 、 Endocrinology 、 Central nervous system 、 Anesthesia 、 Dialysate sample 、 Lactic acid 、 Medicine
摘要: The purpose of this study was to examine the patterns change in microdialysate concentrations glucose, lactate, pyruvate, and glutamate brain during periods hypoxia/ischemia identified by monitoring tissue pO2 (PbtO2). Of particular interest a better understanding what additional information could be obtained microdialysis parameters that not available from PbtO2. Fifty-seven patients admitted with severe traumatic injury who had placement both (PbtO2) probe were studied. perfused Ringer's solution at 0.3 μL/min dialysate collected 1-h intervals. concentration measured each sample. Changes examined episodes where PbtO2 decreased below 10 mm Hg. Ten decrease Hg observed p...