Probleme der Therapie des erhöhten intrakraniellen Druckes mit Osmodiuretika und hohen Barbituratdosen

  • K. Wiedemann
  • C. Krier
  • H. Polarz
Conference paper

Zusammenfassung

Die Erhöhung des intrakraniellen Drucks über seine Normgrenze von 10–15 mmHg beim Erwachsenen hat seit der Verbreitung der Messung des intrakraniellen Drucks eine zentrale Bedeutung in der Prognose zerebraler Beeinträchtigung und als Indikator therapeutischer Maßnahmen gewonnen. Sie kann auf Zunahme eines der 4 Komponenten des Schädelinhaltens, Gehirnmasse, Liquor cerebrospinalis, arterieller oder venöser Blutmenge beruhen. Die Druckerhöhung ist um so bedrohlicher für die zerebrale Versorgung, je steiler die intrakranielle Druckvolumenbeziehung wird, bis schließlich im Stadium der Dekompensation geringsten Volumensteigerungen des Schädelinhaltes, wie mit der arteriellen Pulswelle, außerordentliche Drucksteigerungen folgen.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • K. Wiedemann
    • 1
  • C. Krier
    • 1
  • H. Polarz
    • 1
  1. 1.Klinik für Anaesthesiologie der Universität HeidelbergHeidelberg 1Germany

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