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[主动脉及下肢血管手术中硬膜外麻醉的特点]

[The characteristics of epidural anesthesia in operations on the aorta and vessels of the lower extremities].

作者信息

Protsenko N V, Strelets B M, Petin G I

出版信息

Vestn Khir Im I I Grek. 1991 Jun;146(6):80-3.

PMID:1668515
Abstract

Under study were the parameters of microcirculation in 84 patients operated on the vessels in the aorto-ilio-femoral zone, in 33 patients operated on the vessels in the femoro-popliteal zone. In all of them epidural anesthesia was used. In 25 patients operations on the aorta and main vessels were fulfilled under conditions of epidural anesthesia with catheterization of the epidural space at two levels. The dynamics of microcirculation parameters allows to state that the epidural anesthesia with catheterization of the epidural space at two levels is more rational for patients in operations on the vessels in the aorto-ilio-femoral zone since it gives adequate anesthesia during operation and better tissue blood flow in lower extremities.

摘要

对84例接受主动脉-髂-股区血管手术的患者以及33例接受股-腘区血管手术的患者的微循环参数进行了研究。所有患者均采用硬膜外麻醉。25例患者在硬膜外麻醉并在两个节段进行硬膜外间隙置管的条件下完成了主动脉及主要血管手术。微循环参数的动态变化表明,对于接受主动脉-髂-股区血管手术的患者,硬膜外麻醉并在两个节段进行硬膜外间隙置管更为合理,因为它在手术期间能提供足够的麻醉效果,并使下肢组织有更好的血流。

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