RESUMO
The issues on optimization of the restoration treatment of patients, suffering the brain meningioma, were discussed, basing on analysis of 498 observations. Tactics of the patients management in noncomplicated, complicated and severe course of postoperative period is adduced. The indices of survival and lethality, peculiarities of the infusion therapy were analyzed. The role of plasm-restituting preparations was demonstrated in complicated course of postoperative period. Rational complex approach to the restoration measures and intensive therapy conduction promotes the treatment efficacy raising, the patients fair quality of life securing in the brain meningioma in postoperative period.
Assuntos
Derivados de Hidroxietil Amido/administração & dosagem , Hipovolemia/prevenção & controle , Neoplasias Meníngeas/cirurgia , Meningioma/cirurgia , Substitutos do Plasma/administração & dosagem , Complicações Pós-Operatórias/prevenção & controle , Perda Sanguínea Cirúrgica/fisiopatologia , Feminino , Hemostasia/fisiologia , Humanos , Derivados de Hidroxietil Amido/efeitos adversos , Hipovolemia/mortalidade , Masculino , Neoplasias Meníngeas/sangue , Neoplasias Meníngeas/mortalidade , Meningioma/sangue , Meningioma/mortalidade , Período Perioperatório , Troca Plasmática/métodos , Substitutos do Plasma/efeitos adversos , Complicações Pós-Operatórias/mortalidade , Resultado do TratamentoRESUMO
Cerebral and peripheral plethysmograms were studied in the early postoperative period in 76 patients with supratentorial tumors. Their simultaneous recording, appraisal of the pronounced character of the pulse, respiratory, and irregular oscillations and waves of the 3rd order, their changes in dynamics make it possible to judge the state of cerebral circulation and draw prognostic conclusions. The character of correlation of cerebral and peripheral plethysmograms, particularly in the synchronism and direction of the waves of the 3rd order, attests to the intactness of disorders of autoregulation of the cerebral blood flow.
