Kazanchian P O, Kazakov Iu I, Popov V A, Sotnikov P G, Kozorin M G, Kazakov A Iu, Federiakin D V
Khirurgiia (Mosk). 2008(8):57-62.
The possibility and use of prolonged epidural anesthesia in terms of preoperative care was studied in 78 patients. Patients with various stages of coronary arteries affection, central haemodynamics state and risk of reconstructive surgical treatment on lower limb arteries were marked out. Patient selection criteria for aortocoronary shunting or reconstructive operation on great lower limb vessels were worked out. It is proved, that prolonged epidural anesthesia allows not only to attain good analgesia but to minimize cardiac complications at reconstructive operations on abdominal aorta and its branches.
对78例患者进行了关于术前护理方面长时间硬膜外麻醉的可能性及应用研究。明确了患有不同阶段冠状动脉病变、中心血流动力学状态以及下肢动脉重建手术风险的患者。制定了主动脉冠状动脉分流术或下肢大血管重建手术的患者选择标准。结果证明，长时间硬膜外麻醉不仅能实现良好的镇痛效果，还能在腹主动脉及其分支的重建手术中使心脏并发症降至最低。
