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Ergebnisse Der Inneren Medizin Und Kinderheilkunde / Advances in Internal Medicine and Pediatrics by P. Frick, G. -A Von Harnack, K. Kochsiek

Ergebnisse Der Inneren Medizin Und Kinderheilkunde / Advances in Internal Medicine and Pediatrics

by P. Frick , G. -A Von Harnack , K. Kochsiek
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Book cover type: Paperback
  • ISBN13: 9783642704741
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Springer
  • Publisher Imprint: Springer
  • Publication Date:
  • Pages: 154
  • Original Price: EUR 51.39
  • Language: German
  • Edition: 1985
  • Item Weight: 273 grams
  • BISAC Subject(s): Internal Medicine

In der vorliegenden Arbeit wird versucht, in einem kurzen Abri die Pathophysiologie der Steigerungen des intrakraniellen Drucks (ICP) und deren mögliche Therapie vorzustellen. Unbestritten leistet die ICP-Messung einen Beitrag in der Therapie des Reye- Syndroms und des schweren Schädel-Hirn-Traumas. Bei allen anderen Krankheits- bildern, die zu erhöhtem ICP fUhren, ist es trotz gro en Anstrengungen noch unklar, wie weit die ICP-Messung zum Einsatz kommen soll und welchen Nutzen sie dem Patienten bringt [1]. Eine abschlie ende Wertung bleibt der Zukunft vorbehalten. Im Zweifelsfall sollte man sich zur ICP-Messung entschlie en und dann entscheiden, ob eine Fortsetzung der Intensivtherapie sinnvoll ist. 2 Einleitung Intrakranielle Druckproblemeund deren mögliche Therapie waren bereits im 19. Jahr- hundert sehr gut bekannt [2, 3]. Die pathophysiologischen Vorstellungen unserer Vorgänger entsprachen in einfachen Ansätzen den heutigen Erkenntnissen. Von Bergmann [4]. beschrieb in seinem Buch Lehre von den Kop[verletzungen 1880 die zerebral ablaufenden Prozesse im Anschlu an ein Schädel-Hirn-Trauma folgender- ma en: "Die fluxionäre Hyperämie fUhrt zu einem kongestiven Himödem, welches am 2. bis 4. Tag nach einer Kopfverletzung bei vielen Patienten durch eine Raumbe- schränkung zum Tode fUhrt." Damit umschreibt von Bergmann die Prozesse, welche auch nach heutiger Ansicht im Anschlu an ein Schädel-Hirn-Trauma ohne echte Hirnparenchymläsion zum Tode führen können, nämlich der Zusammenbruch der zerebralen Autoregulation und die Hyperämie, welche in der Folge zu intrakraniellen Durcksteigerungen fUhren.

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