Polisca R, Signoretti P, Marchi P, Domenichini M, Baldelli M
Servizio di Anestesia e Rianimazione, Ospedale Civile di Urbino.
G Chir. 1991 Apr;12(4):270-3.
The experience in the surgical treatment of inguinal and crural hernias with epidural and subarachnoidal anaesthesia over a period of fifteen years (1976-1989) is reported. Results obtained in 1,283 cases confirm the validity of the technique and the clinical course suggests that it could well be applied to cardiopathic, hypertensive, obese, bronchopneumopathic patients as well as to dysmetabolic diseases. Furthermore, advantages of spinal anaesthesia compared to general and local anaesthesia are emphasized. The use of ultrathin needles (24 gauge) in performing subarachnoidal anaesthesia is recommended to prevent headache.
本文报告了1976年至1989年期间,采用硬膜外麻醉和蛛网膜下腔麻醉对腹股沟疝和股疝进行手术治疗的经验。1283例患者的治疗结果证实了该技术的有效性,临床过程表明该技术可很好地应用于心脏病患者、高血压患者、肥胖患者、支气管肺炎患者以及代谢紊乱疾病患者。此外,强调了蛛网膜下腔麻醉相对于全身麻醉和局部麻醉的优势。建议在进行蛛网膜下腔麻醉时使用超薄针(24G)以预防头痛。