Kovalev S V, Koriachkin V A
Vestn Khir Im I I Grek. 2005;164(5):60-3.
The aim of the investigation was to study the mechanisms of arterial hypotension in the development of epidural blockade and to work out differentiated correction of disorders of the central hemodynamics at the stage of surgical intervention depending on the initial state of the cardio-vascular system. Three main types of the preoperative state of the central hemodynamics indices were defined in patients after operation on the abdominal part of the aorta. To prevent hemodynamic shifts in response to epidural anesthesia it is necessary to carry on differential therapy depending on the type of the preoperative state of hemodynamics including dosed infusion therapy, and for the development of syndrome of low cardiac output an inotropic support with Dobutamin is to be used.
该研究的目的是探讨硬膜外阻滞过程中动脉低血压的发生机制，并根据心血管系统的初始状态，制定手术干预阶段中心血流动力学紊乱的差异化纠正措施。对腹主动脉手术后患者的中心血流动力学指标术前状态进行了三种主要类型的定义。为防止硬膜外麻醉引起的血流动力学变化，有必要根据血流动力学术前状态类型进行差异化治疗，包括定量输液治疗，对于低心输出量综合征的发生，应使用多巴酚丁胺进行正性肌力支持。
