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[颅内动脉瘤手术中不同类型麻醉下患者大脑的脑代谢及生物胺交换]

[Cerebral metabolism and the exchange of biogenic amines in the brain of patients under various types of anesthesia in the surgery of intracranial aneurysms].

作者信息

Platonov D N, Timerbaev V Kh, Valetova V V, Davydova N A

出版信息

Anesteziol Reanimatol. 2007 Mar-Apr(2):22-5.

Abstract

During intracranial surgical interventions, the major tasks of an anesthetic procedure are to maintain cerebral perfusion, adequate oxygen delivery, and brain tissue metabolism at all surgical stages. The authors have compared cerebral metabolism and the exchange of biogenic amines that regulate cerebral oxygen consumption and cerebral blood flow, by using neuroleptic anesthesia and balanced anesthesia on the basis of enflurane during operations on intracranial vessels. There is evidence for the equal efficiency of both types of anesthesias and for a unidirectional impact on the body's neurohumoral systems.

摘要

在颅内手术干预过程中,麻醉程序的主要任务是在所有手术阶段维持脑灌注、充足的氧输送和脑组织代谢。作者在颅内血管手术中,通过使用神经安定麻醉和基于安氟醚的平衡麻醉,比较了脑代谢以及调节脑氧消耗和脑血流量的生物胺交换情况。有证据表明两种麻醉方式效率相同,且对机体神经体液系统有单向影响。

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