第四脑室探查的解剖生理学考虑。

Bulletin of the Los Angeles neurological societies Pub Date : 1976-04-01

M H Weiss, J S Heiden, M L Apuzzo, T Kurze

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引用次数: 0

摘要

外科技术的进步使神经外科医生能够对第四脑室内的病变采取更积极的治疗方法。实验室和临床观察使我们能够得出以下结论:(1)探查第四脑室是可行的，而不会破坏蚓部的解剖结构;(2)在这种探查过程中控制通风是生理上最理想的;(3)神经结构的冲洗必须考虑酸碱和离子参数，以保持生理稳定性。

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Anatomico-physiological considerations in exploration of the fourth ventricle.

The advancement of surgical techniques has enabled the neurosurgeon to undertake a continually more aggressive approach toward lesions within the fourth ventricle. Laboratory and clinical observations have enabled us to conclude that (1) exploration of the fourth ventricle is feasible without anatomical disruption of the vermis, (2) controlled ventilation during such explorations is physiologically most desirable, and (3) irrigation of neural structures must consider acid-base and ionic parameters in order to maintain physiologic stability.

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Bulletin of the Los Angeles neurological societies

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