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Osmolalität und Osmotherapie in Intensivtherapie und Prognose nach Schädel-Hirn-Trauma

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Zentraleuropäischer Anaesthesiekongreß

Zusammenfassung

Nach Ausschluß oder Beseitigung intrakranieller Raumforderungen und epileptischer cerebraler Reizzustände wird das schwere Schädel-Hirn-Trauma durch Überwachung der noch vorhandenen und Unterstützung oder Ersatz gestörter zentral-nervöser Funktionen behandelt. Wesentlicher Teil dieser Intensivtherapie ist die Kontrolle des Wasser- und Elektrolythaushaltes [21, 22]. Bei schwer Schädel-Hirn-Verletzten, d.h. bewußtseinsgetrübten [10, 29] Patienten fehlen nicht nur Durst und spontane Wasseraufnahme [5], vielmehr ist bei Schädel-Hirn-Verletzungen auch mit einer zentralen Störung der Reglerkreise des Wasser- und Elektrolythaushaltes zu rechnen, die in komplizierter Verbindung von zentral-nervöser, insbesondere diencephal-hypothalamisch-hypophysärer Funktion mit peripheren Rezeptor- und Effektor-(Niere-)Funktionen und endokrinen Organen [7, 9, 7] den osmotischen Druck in alien Körperflüssigkeiten mit Ausnahme der Exkrete konstant auf 289 ± 8 (Mittelwert ± 2 SD) mmol/kg hält [8].1

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Authors
  1. M. Gaab
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  2. H. A. Trost
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  3. I. Haubitz
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  4. K. W. Pflughaupt
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Editors and Affiliations

  1. Klinik für Anaesthesiologie, Universität Innsbruck, Anichstraße 35, A-6020, Innsbruck, Österreich

    Bruno C. Haid  & Gottfried Mitterschiffthaler  & 

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© 1981 Springer-Verlag Berlin Heidelberg

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Gaab, M., Trost, H.A., Haubitz, I., Pflughaupt, K.W. (1981). Osmolalität und Osmotherapie in Intensivtherapie und Prognose nach Schädel-Hirn-Trauma. In: Haid, B.C., Mitterschiffthaler, G. (eds) Zentraleuropäischer Anaesthesiekongreß. Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine, vol 143. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-46443-0_23

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  • DOI: https://doi.org/10.1007/978-3-642-46443-0_23

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-10946-4

  • Online ISBN: 978-3-642-46443-0

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