Shcherbakov I V, Mezhin V Iu, Kuznetsov D I, Vardosanidze K V
Anesteziol Reanimatol. 1992 Sep-Dec(5-6):48-50.
Two variants of anesthesiological management have been used in 135 patients with gastrointestinal tumors. The first variant was intubation anesthesia with N2O+O2, ketamine or sodium hydroxybutyrate combined with classical neuroleptanalgesia technique. Pentamine was used to potentiate protection. This anesthesia technique was used in patients under 50 who had no concomitant diseases. The second variant was used in patients over 50 with concomitant diseases. In these cases combined prolonged epidural anesthesia was accompanied in the intraoperative period with intubation anesthesia with controlled lung ventilation using N2O+O2 and additional administration of promedol and droperidol. The second variant of anesthesia not only ensured a safe intraoperative period but also optimized the management of patients in the postoperative period.
135例胃肠道肿瘤患者采用了两种麻醉管理方案。第一种方案是使用N2O+O2、氯胺酮或羟丁酸钠进行插管麻醉，并结合经典的神经安定镇痛技术。使用喷他明增强保护作用。该麻醉技术用于50岁以下无合并症的患者。第二种方案用于50岁以上有合并症的患者。在这些情况下，联合长时间硬膜外麻醉在术中采用N2O+O2控制肺通气的插管麻醉，并额外给予丙帕他莫和氟哌利多。第二种麻醉方案不仅确保了术中安全，还优化了术后患者的管理。
