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Haemodynamic defect in patients with severe head injury
Authors:Ryohei Yamada   Kikushi Katsurada  Tsuyoshi Sugimoto
Affiliation:

Department of Traumatology, Osaka University Hospital, Japan

Abstract:Haemodynamic studies were made in 34 patients with severe head injury. The changes of cardiac output were noteworthy and correlated well with the clinical course and the prognosis of the patients. Marked systemic hypotension at the moment of brain death was mainly caused by the decrease of cardiac output. At this moment, peripheral resistance fell only to normal limits from the raised level. In the patients who survived, the cardiac output increased in proportion to the respiratory insufficiency, that is, the increased A-aDO2 and Q?s/Q?t. The increase of oxygen consumption was also accompanied by an increased cardiac output, but in the patients with the severest head injury who died, the cardiac output remained low. It failed to respond to increased A-aDO2 and Q?s/Q?t, and oxygen consumption remained low.
Keywords:Requests for reprints should be addressed to:—Ryohei Yamada   Esq.   Department of Emergency Medicine   Osaka Prefectural Hospital   4-25   Bandai Higashi   Sumiyoshi-ku   Osaka   Japan.
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