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[术中监测及其在儿童后颅窝肿瘤手术中的实用价值]

[Intraoperative monitoring and its practical value in operations for tumors of the posterior cranial fossa in children].

作者信息

Lesteva N A, Kondrat'ev A N, Khachatrian V A, Kim A V

出版信息

Vestn Khir Im I I Grek. 2009;168(5):44-6.

Abstract

The work is based on an analysis of the course of anesthetic aid, operative and early postoperative period in 62 patients aged from 15 months to 18 years with tumors of the posterior cranial fossa. The analysis concerned changes to the indices of systemic hemodynamics, findings of electrophysiological monitoring (electroencephalogram, acoustic stem induced potentials) and their interrelation with the outcomes of surgery. It was found that permanent disturbance of the heart rate such as bradycardia and tachycardia as well as the decreased indices of latency of peaks of the acoustic stem induced potentials and inter-peak intervals registered at the stage of removal of tumors of the posterior cranial fossa must be taken into consideration in the estimation of indications to medicinal narcosis in the postoperative period.

摘要

这项工作基于对62例年龄在15个月至18岁之间、患有后颅窝肿瘤患者的麻醉辅助过程、手术及术后早期阶段的分析。分析涉及全身血流动力学指标的变化、电生理监测(脑电图、听神经干诱发电位)的结果及其与手术结果的相互关系。结果发现,在后颅窝肿瘤切除阶段出现的诸如心动过缓和心动过速等心率永久性紊乱,以及听神经干诱发电位峰值潜伏期和峰间间期指标降低,在评估术后药物麻醉适应症时必须予以考虑。

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