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[手术及全身麻醉对胸外科手术期间肺内液体跨毛细血管交换的影响]

[Effect of the operation and general anesthesia on transcapillary exchange of fluid in the lungs during thoracic surgery].

作者信息

Khorokhordin N E, Leosko V A, Levashev Iu N, Katsnel'son Ia S, Shekhunov E D

出版信息

Vestn Khir Im I I Grek. 1990 Apr;144(4):89-93.

PMID:2173243
Abstract

The influence of operation factors and general anesthesia on transcapillary exchange of liquid in the lungs was studied in 48 patients after thoracal interventions, and in 8 patients after general surgical treatment. It was found that operations on the lungs unlike general surgical procedures are characterized by the accumulation of liquid in the pulmonary interstitial tissue especially after extensive resections of lung tissue and during massive infusion-transfusion therapy. This process is influenced by the kind of general anesthesia: transcranial electroanalgesia is followed by less shifts of the transcapillary pulmonary exchange of liquid than fluoroxene narcosis.

摘要

对48例胸科手术后患者及8例普通外科手术后患者,研究了手术因素和全身麻醉对肺内液体跨毛细血管交换的影响。结果发现,与普通外科手术不同,肺部手术的特点是肺间质组织中液体蓄积,尤其是在广泛切除肺组织后以及大量输液输血治疗期间。这一过程受全身麻醉类型的影响:与氟烷麻醉相比,经颅电镇痛后肺内液体跨毛细血管交换的变化较小。

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