The article deals with some aspects of spinal anesthesia. It analyses in the light of possible complications the results of spinal anesthesia conducted in 4,186 cases with 1% sovcaine (cinchocaine hydrochloride) solution and 5% novocaine (procaine hydrochloride) solution by 60 surgeons. Spinal anesthesia was applied in patients, whose ages ranged from 11 to 96 years, in various operations. Contraindications for the method were determined. The author appraises comparatively spinal anesthesia with the related peridural anesthesia and discusses the prospects of the development of the method with the existence of new anesthetics and very thin needles for puncture of the subarachnoid space, which leads to the minimum number of possible complications.
本文探讨了脊髓麻醉的某些方面。根据可能出现的并发症,分析了60位外科医生使用1%丁卡因(盐酸辛可卡因)溶液和5%奴夫卡因(盐酸普鲁卡因)溶液对4186例患者实施脊髓麻醉的结果。脊髓麻醉应用于年龄在11岁至96岁之间的患者,涉及各种手术。确定了该方法的禁忌症。作者对脊髓麻醉与相关的硬膜外麻醉进行了比较评估,并讨论了随着新型麻醉剂和用于蛛网膜下腔穿刺的极细针的出现,该方法的发展前景,这将使可能出现的并发症数量降至最低。