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[后颅窝肿瘤切除术中的全身麻醉、激素与血流动力学]

[General anesthesia, hormones and hemodynamics during the excision of tumors of the posterior cranial fossa].

作者信息

Drozhzhin V A, Snigirev V S, Salalykin V I, Shiriaeva N V, Romanova N V, Fetisova V I

出版信息

Anesteziol Reanimatol. 1992 Sep-Dec(5-6):40-4.

PMID:1492678
Abstract

The levels of tropic and peripheral hormones (ACTH, TSH, STH, T3, T4, hydrocortisone, insulin) have been assessed in 74 patients, aged 16 to 64 years, operated on for posterior cranial fossa tumors. Depending on the basic anesthesia component the patients were divided into 3 groups: patients on halothane anesthesia, patients on anesthesia with azeotropic mixture, patients on neuroleptanalgesia. Three hemodynamic variants in the course of operation and postoperative period have been established: patients with normal blood pressure, heart rate, stroke volume; patients with elevated and high blood pressure; patients with unstable hemodynamics. It has been found that general halothane and azeotropic mixture anesthesia is associated with marked changes in intraoperative endocrine function. Endocrine function is changed on the 3rd and 7th day postoperatively due to surgical brain trauma.

摘要

对74例年龄在16至64岁、因后颅窝肿瘤接受手术的患者的促激素和外周激素(促肾上腺皮质激素、促甲状腺激素、生长激素、三碘甲状腺原氨酸、甲状腺素、氢化可的松、胰岛素)水平进行了评估。根据基础麻醉成分,将患者分为3组:接受氟烷麻醉的患者、接受共沸混合物麻醉的患者、接受神经安定镇痛麻醉的患者。在手术过程和术后期间确定了三种血流动力学变化类型:血压、心率、每搏输出量正常的患者;血压升高和高血压患者;血流动力学不稳定的患者。已发现,全身氟烷和共沸混合物麻醉与术中内分泌功能的显著变化有关。由于脑部手术创伤,术后第3天和第7天内分泌功能发生改变。

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