RESUMO
To study the pathogenesis of respiratory insufficiency in a severe craniocerebral injury the authors examined 120 patients. The results showed bronchospasm, diffuse collapse of alveoli, and the occurrence of atelectasis to be the underlying factors of respiratory insufficiency in severe craniocerebral injury. The effect of analgesics, neuroplegics, barbiturates, and heliox on this condition was studied.
Assuntos
Lesões Encefálicas/complicações , Insuficiência Respiratória/etiologia , Adolescente , Adulto , Idoso , Lesões Encefálicas/terapia , Espasmo Brônquico/diagnóstico , Espasmo Brônquico/etiologia , Espasmo Brônquico/terapia , Terapia Combinada , Emergências , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atelectasia Pulmonar/diagnóstico , Atelectasia Pulmonar/etiologia , Atelectasia Pulmonar/terapia , Testes de Função Respiratória , Insuficiência Respiratória/diagnóstico , Insuficiência Respiratória/terapia , Fatores de TempoRESUMO
Quantitative analysis of patients' history, catamnesis, clinical and X-ray data formed the basis for a statistically reliable evaluation of the significance of each factor or symptom in making prognosis for surgical treatment of patients with lung cancer metastases into the brain. Such data provide a rationale for admission of such cases to neurosurgical wards.
Assuntos
Neoplasias Encefálicas/secundário , Neoplasias Pulmonares/diagnóstico , Adulto , Idoso , Neoplasias Encefálicas/diagnóstico , Neoplasias Encefálicas/mortalidade , Neoplasias Encefálicas/cirurgia , Feminino , Humanos , Expectativa de Vida , Neoplasias Pulmonares/mortalidade , Masculino , Pessoa de Meia-Idade , Cuidados Pré-Operatórios , Prognóstico , Estudos RetrospectivosRESUMO
The authors analyse the results of computed tomography (CT) and the operative findings in 107 patients with metastatic tumors of the brain. The computer-tomographic image was studied in comparison with the size, macro- and microscopic structure of the removed metastases and in 15 cases of metastases discovered on autopsy. The results showed that CT makes it possible to determine the number, size, and location of the metastases, the attendant edema of the cerebral tissue, and the developmental stage of the tumorous node. With consideration for the duration of metastasis growth, these data, in a relatively favourable somatic condition of the patient, enable one to determine the indications for removing a solitary as well as one or two neurologically "resounding" tumorous nodes in multiple metastases if the others are in the subclinical stage of development.
