相关实验视频
Updated: Aug 15, 2026
07:40
A Murine Model of Subarachnoid Hemorrhage
Published on: November 21, 2013
19.6K
脑下血瘤切除手术后患者的脑氧动力学:一个病例报告
Naoyuki Hashimoto1, Yu Takada2, Masafumi Kubota3
1Section of Rehabilitation, Kanazawa University Hospital, Kanazawa, Japan. nao_hashimot531@med.kanazawa-u.ac.jp.
Advances in experimental medicine and biology
|October 14, 2024
概括
近红外光谱学 (NIRS) 在从体内血瘤手术中康复的患者中非侵入性监测大脑氧气动态. NIRS显示氧化水平有所改善,有助于康复评估.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 生物医学工程 生物医学工程
背景情况:
- 皮质血瘤可以损害大脑的氧化.
- 对大脑血液动力学的非侵入性监测对于神经外科恢复至关重要.
- 便携式无线近红外光谱 (NIRS) 提供实时评估能力.
研究的目的:
- 报告临床发现和脑氧气动态在患者下皮质血瘤移除后.
- 评估NIRS在评估神经外科手术后大脑循环恢复方面的实用性.
主要方法:
- 一份病例报告详细介绍了一名70多岁的患者,他接受了左側下皮質血腫的手術.
- 利用一个便携式无线NIRS系统来监测前叶皮质半球的大脑氧气动态.
- 在术后的第2,3,7和第10天,在各种姿势 (仰卧,70°床上,坐着,站着) 中进行测量.
主要成果:
- 患者在术后第二天的意识下降和姿势不稳定性从临床上有所改善,到第10天意识有所改善和行走.
- 受伤半球的脑氧动态在术后第二天出现了显著的变化,随着时间的推移逐渐正常化.
- 与患者的临床康复轨迹相关的NIRS数据.
结论:
- 近红外光谱 (NIRS) 提供了一种有价值的非侵入性工具,用于评估神经外科手术恢复期间的大脑氧气动态.
- 护士监测可以让医疗康复团队了解大脑循环恢复的进展情况.
- 这一案例凸显了NIRS在指导神经外科患者康复方面的潜力.
相关概念视频
01:29Hemorrhagic Stroke ll: Pathophysiology
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
01:22Cerebral Edema ll: Pathophysiology
Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...