Kozlov I A, Pilaeva I E, Gruzdev Iu K, Kniaz'kov V L, Pankratova N N
Anesteziol Reanimatol. 1990 Sep-Oct(5):36-40.
At present non-cardiac surgery is infrequent in patients survived after heart transplantations. The authors review specific features of general anesthesia in such a clinical situation on the basis of their own two clinical observations and literature data. The principles for the anesthesiological management are analysed. They are specific sterility rules, atypical mechanisms of cardio-vascular system adaptation to stress and peculiar reaction of a denervated heart to pharmacological agents.
目前，心脏移植术后存活患者进行非心脏手术的情况并不常见。作者基于自身的两项临床观察以及文献资料，回顾了这种临床情况下全身麻醉的具体特点。分析了麻醉管理的原则。这些原则包括特殊的无菌规则、心血管系统适应应激的非典型机制以及去神经心脏对药物的特殊反应。
