全身麻醉期间的心血管变化：用于牙科手术。五种不同麻醉技术的前瞻性研究。
Cardiovascular changes during general anaesthesia: for dental surgery. A prospective study of five different anaesthetic techniques.
作者信息
Rubin J, Buley R J, Uys P B, Mitha A S
出版信息
S Afr Med J. 1979 Sep 8;56(11):425-8.
A prospective study of 79 fit young adults who underwent oral dental surgery was undertaken with five different anaesthetic techniques. Anaesthesia was commenced with methohexitone or flunitrazepam, muscle relaxants, and cuffed nasal intubation, and anaesthesia was maintained with 50% nitrous oxide, 50% oxygen, halothane or fentanyl with or without intermittent positive pressure ventilation (IPPV). Six of the 33 patients who received methohexitone and halothane developed dangerous dysrhythmias. Flunitrazepam, IPPV, adequate analgesia and anaesthesia provide maximum cardiovascular stability.
对79名身体健康的年轻成年人进行了一项前瞻性研究，这些人接受了口腔牙科手术，采用了五种不同的麻醉技术。麻醉开始时使用美索比妥或氟硝西泮、肌肉松弛剂，并进行带套囊的鼻腔插管，麻醉维持使用50%氧化亚氮、50%氧气、氟烷或芬太尼，伴有或不伴有间歇正压通气（IPPV）。接受美索比妥和氟烷的33名患者中有6人出现了危险的心律失常。氟硝西泮、IPPV、充分的镇痛和麻醉可提供最大程度的心血管稳定性。
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