Muratkhanov E Zh, Lysikova G K, Kliudt K A
Probl Tuberk. 1990(10):39-41.
The effect of different options of a combined electroanesthesia (CEA) and operation on the central hemodynamics (CHD) and regional liver blood flow (RLBF) in 59 pulmonary tuberculosis patients was investigated with rheographic and radioisotopic methods. It was found that the initial liver blood flow became lowered, and initial and general anaesthesia in every group was accompanied by a moderate drop of CHD, while RLBF varied differently. Though a central electroneurostimulation promoted the rise of LIBF, its intensity at the peak of a surgical trauma was decreased without neurovegetative protective means. The studies established the relationship between RLBF and the circulating blood volume level, the index of peripheral vascular resistance and the extent of anesthetic effect of CEA options. It is recommended to combine CEA with ganglionic or peridural block.
采用血流图和放射性同位素方法，对59例肺结核患者联合电麻醉（CEA）和手术的不同方案对中心血流动力学（CHD）和肝脏局部血流量（RLBF）的影响进行了研究。结果发现，初始肝脏血流量降低，每组的初始麻醉和全身麻醉均伴有CHD的适度下降，而RLBF变化各异。尽管中枢神经电刺激促进了肝脏局部血流量的增加，但在没有神经植物性保护手段的情况下，手术创伤高峰期其强度会降低。研究确定了RLBF与循环血容量水平、外周血管阻力指数以及CEA方案麻醉效果程度之间的关系。建议将CEA与神经节或硬膜外阻滞联合使用。
