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[老年外科手术中持续硬膜外镇痛期间降压情况的研究]

[Study of pressor drops during continuous peridural analgesia in gerontologic surgery].

作者信息

Michelangeli F, Cordier M, Melandri P, Gaspaillard M, Migliori G, Maestracci P

出版信息

Ann Anesthesiol Fr. 1975 Oct;16(6):429-36.

PMID:2059
Abstract

A statistical study bearing upon othe fall of blood pressure concomitant with the setting of peridural anaesthesia was carried out upon an homogeneous series of patients over 75 belonging to groups III and IV of the A S A classification for interventions seating below the IXth metamere. From this study, it seems to follow that: - for starting maximum arterial tensions over 180 mm/Hg, pressure falls are virtually constant in absolute value; - the most important variations in pressure falls are to be found in abdominal surgery; - the lowest figure in blood pressure which accompanies the achievement of surgical analgesia takes place about the 24 th minute whatever the type of surgery can be; - no significant link can be evidence between the importance of the fall in blood pressure and the consumption of the mixture required for surgical analgesia.

摘要

对一组年龄超过75岁、属于美国麻醉医师协会(ASA)分类中III级和IV级、手术部位在第九胸椎以下的同质患者,进行了一项关于硬膜外麻醉时伴随的血压下降的统计研究。从这项研究中似乎可以得出以下结论:- 对于起始最大动脉压超过180毫米汞柱的情况,血压下降的绝对值实际上是恒定的;- 血压下降最重要的变化出现在腹部手术中;- 无论何种手术类型,实现手术镇痛时伴随的最低血压值大约出现在第24分钟;- 血压下降的幅度与手术镇痛所需混合药物的用量之间没有明显关联。

相似文献

1
[Study of pressor drops during continuous peridural analgesia in gerontologic surgery].[老年外科手术中持续硬膜外镇痛期间降压情况的研究]
Ann Anesthesiol Fr. 1975 Oct;16(6):429-36.
2
[Continuous peridural anesthesia in abdominal surgery. An alternative for elderly patients].[腹部手术中的连续硬膜外麻醉。老年患者的一种替代方法]
Anaesthesist. 1992 Oct;41(10):634-8.
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[Thoracic peridural anesthesia for intra- and postoperative analgesia in lung resections. A comparison of stress reactions and postoperative lung function].[胸部硬膜外麻醉用于肺切除术中及术后镇痛。应激反应与术后肺功能的比较]
Reg Anaesth. 1984 Oct;7(4):115-24.
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Epidural ropivacaine concentrations for intraoperative analgesia during major upper abdominal surgery: a prospective, randomized, double-blinded, placebo-controlled study.上腹部大手术术中镇痛的硬膜外罗哌卡因浓度:一项前瞻性、随机、双盲、安慰剂对照研究。
Anesth Analg. 2009 Jun;108(6):1971-6. doi: 10.1213/ane.0b013e3181a2a301.
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[Methods and indications for low peridural analgesia in the aged. Report of 300 cases].
Ann Anesthesiol Fr. 1977;18(5-6):524-34.
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A retrospective study of changes in cerebral oxygenation using a cerebral oximeter in older patients undergoing prolonged major abdominal surgery.一项关于使用脑氧饱和度仪对接受长时间大型腹部手术的老年患者脑氧合变化的回顾性研究。
Eur J Anaesthesiol. 2007 Mar;24(3):230-4. doi: 10.1017/S0265021506001645. Epub 2006 Oct 23.
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[Modification of oxygen consumption following major abdominal surgery by epidural anesthesia].[硬膜外麻醉对腹部大手术后氧耗的影响]
Anaesthesist. 1993 Sep;42(9):612-8.
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[Experience with continuous thoracic epidural analgesia].[连续胸段硬膜外镇痛的经验]
Ugeskr Laeger. 1972 Nov 6;134(45):2378-81.
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[Postoperative peridural analgesia via catheter following abdominal surgery. Peridural bupivacaine versus buprenorphine].[腹部手术后经导管进行术后硬膜外镇痛。硬膜外布比卡因与丁丙诺啡的比较]
Reg Anaesth. 1990 May;13(3):78-87.
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Combined vs. Isoflurane/Fentanyl anesthesia for major abdominal surgery: Effects on hormones and hemodynamics.丙泊酚复合麻醉与异氟烷/芬太尼麻醉用于腹部大手术:对激素和血流动力学的影响
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