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在临床实践中,如何控制颅内压和脑水肿是一个重要问题,其中,呼吸道的处理很重要.当呼吸制仍不能达到理想的降低颅内压的效果时,常用的方法是应用高渗性脱水剂如甘醇,尿素和速尿.这时药物虽然能起到降颅压的作用,但多次反复使用可因其副作用而受到限制,并且对某些重型颅高压可能无效.巴比妥类药被认为对控制重型颅高压有效,但缺点是使血压降低从而减少脑灌流,其次是会影响病人神智的观察.低温对降压也有效,但需要一定的时间才能达到目的,不适宜急性
In clinical practice, how to control intracranial pressure and cerebral edema is an important issue, of which respiratory tract treatment is very important when the respiratory system is still not able to achieve the desired effect of reducing intracranial pressure, the commonly used method is the application of hypertonicity Dehydration agents such as glycol, urea and furosemide.At this time the drug can play down the effect of reducing intracranial pressure, but repeated use can be limited due to its side effects, and may not be effective for some heavy cranial hypertension.Pobital Drugs are considered to be effective in controlling severe cranial hypertension, but have the disadvantage of reducing blood pressure and hence cerebral perfusion, followed by observations that affect the patient’s intelligence. Low temperatures are also effective in lowering blood pressure, but take some time to achieve this goal, not suitable for acute