Zeisser M, Robillart A, Perrot G, Jacqmin D, Grattard C, Gros H, Dupeyron J P, Bollack C
Département d'Anesthésie-Réanimation, Centre Hospitalier Régional et Universitaire, Strasbourg.
J Urol (Paris). 1990;96(5):267-70.
Retrospective study of one years is performed on 334 patients who undergo transurethral surgery. Spinal anesthesia is used in 263 cases, general anesthesia in 71. Spinal administration of local anesthetics (lidocaine hyperbaric 5% or bupivacaine 0.5%) or opioid (Pethidine 1 mg/kg) have been used in old patients without any complication. The advantages are less blood uses, early stand up, no discontinuity in oral nutrition. For our team there are only few contra-indications for spinal anesthesia: blood coagulation abnormalities or some very rare heart diseases.
对334例行经尿道手术的患者进行了为期一年的回顾性研究。其中263例采用脊髓麻醉，71例采用全身麻醉。在老年患者中使用脊髓注射局部麻醉剂（5% 高压利多卡因或0.5% 布比卡因）或阿片类药物（哌替啶1 mg/kg），未出现任何并发症。其优点是用血较少、早期可站立、口服营养无中断。对于我们团队而言，脊髓麻醉仅有少数禁忌证：凝血异常或一些非常罕见的心脏病。
