[Status of cerebral perfusion pressure and cerebral oxygenation in the acute period after cranio-cerebral injury].
Sixty-one patients with severe craniocerebral injuries were examined on days 1-3 after the injury. Consciousness was no more than 8 points by the Glasgow Coma Scale. The patients were divided into 2 groups: 1) favorable outcomes and 2) unfavorable outcomes. Gaseous composition of arterial and venous blood was analyzed in all patients, intracranial pressure (ICP) and cerebral perfusion pressure (CPP) were measured, artificial ventilation of the lungs (AVL) and noninvasive monitoring of cerebral oxygenation (CO) were carried out. The results indicate that continuous monitoring of CPP and CO helps control the time course of cerebral blood flow, thus promoting early detection and effective treatment of cerebral ischemia in critical patients.
Martynenkov
V Ia
VIa
Churliaev
Iu A
IuA
Denisov
E N
EN
Karpenko
V S
VS
Voronov
G M
GM
D001784:Blood Gas Analysis; D002545:Brain Ischemia / Q000628:therapy; D006259:Craniocerebral Trauma / Q000503:physiopathology*; D015600:Glasgow Coma Scale; D006801:Humans; D007427:Intracranial Pressure; D010477:Perfusion