Ulusov V N, Lebzak K F, Nekrasova L N, Pomogaĭbo V V
Anesteziol Reanimatol. 1991 Nov-Dec(6):55-7.
The paper reviews three techniques of anesthesia used in 113 patients with abdominal trauma and thoracoabdominal wounds. In 42 patients N2O-ether (halothane)-O2 anesthesia was used. In 40 patients thalamonal-hydroxybutyric analgesia was used. In 25 patients general anesthesia with ketamine was performed. In six patients trauma was incompatible with life. From the point of view of their effect on the cardiovascular system two techniques of anesthesia seem to be most advisable: thalamonal-hydroxybutyric general anesthesia and general anesthesia with ketamine. Postoperative lethality was 6 patients (5.6%).
本文回顾了113例腹部创伤和胸腹联合伤患者所采用的三种麻醉技术。42例患者采用笑气-乙醚(氟烷)-氧气麻醉。40例患者采用硫喷妥钠-γ-羟基丁酸钠镇痛麻醉。25例患者采用氯胺酮全身麻醉。6例患者创伤严重,无法挽救生命。从对心血管系统的影响来看,两种麻醉技术似乎最为可取:硫喷妥钠-γ-羟基丁酸钠全身麻醉和氯胺酮全身麻醉。术后死亡6例(5.6%)。