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连续硬膜外麻醉与全身麻醉的联合应用。关于两例意外事件

[The association of continuous peridural anesthesia with general anesthesia. Apropos of 2 accidents].

作者信息

Le Borgne S, Robillart A, Zeisser M, Mangin M, Dupeyron J P

机构信息

Département d'Anesthésiologie, Centre hospitalier régional et universitaire, Strasbourg.

出版信息

Cah Anesthesiol. 1991;39(3):171-4.

PMID:1884271
Abstract

Continuous lumbar epidural anaesthesia combined with light general anaesthesia provides optimal anaesthetic conditions to realize major lower abdominal or pelvic surgical cases. However this technique may cause haemodynamic alterations due to the important vasoplegia and to the potential myocardial toxicity of the local anaesthetics. The authors report two accidents associated with this technique, one of them with lethal outcome.

摘要

连续腰段硬膜外麻醉联合浅全身麻醉可为实施下腹部或盆腔大型手术病例提供最佳麻醉条件。然而,由于显著的血管麻痹和局部麻醉药潜在的心肌毒性,该技术可能会引起血流动力学改变。作者报告了两例与该技术相关的意外事件,其中一例导致死亡。

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