Systemic management of cerebral edema based on a new concept in severe head injury patients.

摘要: Cerebral hypothermia treatment of critical brain injury patients was studied based on the management and control cerebral thermo-pooling, synaptic excitation, hypermetabolic demand, systemic condition metabolic reserve. The initial pathophysiological changes after trauma included a progressive increase in tissue temperature. Such which reached maximum 43.8 degrees C, can change or damage vascular proteins directly. temperature influenced by four factors: 1. metabolism, 2. excess energy 3. CPP that carries to tissue, 4. blood flow leads washout Mild (32-33 C) managed whole body compartment cooling technique conditions diffuse (GCS < 4) produced good recovery 8 10 patients. Continuous monitoring jugular venous oxygen saturation BTT/TMT effective for evaluating ischemia disturbances even during treatment.