RESUMO
Liquor distension, disorders of the cerebral hemodynamics as well as vegetative disorders and changes of immune reactivity in patients after a severe craniocerebral trauma are discussed. The examination of patients during the initial 10 days after trauma pointed at the relation of a cerebral trauma type with liquor distension, cerebral perfusion pressure, changes of the vegetative balance and with disorders of the auto-immune status. The most profound changes were observed in a severe craniocerebral trauma involving a severe cerebral contusion and compression.
Assuntos
Circulação Cerebrovascular/fisiologia , Traumatismos Craniocerebrais/fisiopatologia , Homeostase/fisiologia , Doença Aguda , Adolescente , Adulto , Autoanticorpos/análise , Pressão Sanguínea/fisiologia , Traumatismos Craniocerebrais/imunologia , Homeostase/imunologia , Humanos , Pressão Intracraniana/fisiologia , Índices de Gravidade do TraumaRESUMO
It is reported that the CO2-laser can be used in operations on the brain. Information is given on the response of the brain structures to irradiation with a wave length of 10.6 microns. The optimal regimens of the device operation were elaborated depending on the concrete object of the various stages of the surgical intervention. The medical laser device Skal'pel'-1 was used in the clinic in 109 operations. The low traumatization of such operations and the favourable course of the postoperative period are pointed out.