Feofilov G L, Borodach V A
Khirurgiia (Mosk). 1990 Oct(10):70-5.
The article analyses surgical treatment of patients with cholelithiasis (231 persons) who were operated on with the use of a "pure" epidural block (59 patients), epidural block in combination with surface endotracheal nitrous oxide anaesthesia (100 patients), and general many--component anaesthesia (72 patients). The results show that epidural block is an effective method of neurovegetative protection of the organism from an operative trauma, provides rapid recovery of the organism for a state of operative stress, and is conducive to reduction of the number of postoperative complications. Administration of hydrocortisone and ephedrine is expedient for the prevention of arterial hypotension and its correction.
本文分析了231例胆石症患者的手术治疗情况,这些患者分别接受了“单纯”硬膜外阻滞(59例)、硬膜外阻滞联合表面气管内一氧化二氮麻醉(100例)和全身多成分麻醉(72例)。结果表明,硬膜外阻滞是机体免受手术创伤的有效神经-植物性保护方法,能使机体迅速恢复到手术应激状态,有助于减少术后并发症的数量。使用氢化可的松和麻黄碱预防和纠正动脉低血压是适宜的。