par Mouawad, Émile ;Van Laere, Éliane
Référence Annales de l'Anesthesiologie Francaise, 15, 4, page (335-342)
Publication Publié, 1974
Article révisé par les pairs
Résumé : Hyperglycemia in cranial trauma patients is a frequent observation: it appears immediately after the trauma or after an episode of acute hypoxemia often associated with an aggravation of the neurological state. After having studied 281 observations of cranial trauma, a correlation was established between the glycemia, the gravity of the trauma and the mortality level of these patients. The presence of pseudo diabetes underlines an important therapeutic problem. In effect, if it is essential to reduce the vicious cycle of an osmotic diuresis maintained by an hyperglycemia, it is also very important to not too suddenly reduce plasmatic osmotic pressure, which might aggravate cerebral edema. The therapeutic attitude adopted in 4 patients presenting this type of problem is discussed, and the importance of treating the cause of this diabetes: cerebral lesion and the edema which is always associated, is emphasized.