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恩氟烷和氟烷在低血压性眼科手术中的比较。

Comparison of enflurane and halothane in hypotensive eye surgery.

作者信息

Blyth A S, Hughes R L, Miller C D

机构信息

Division of Anaesthesia, Royal Infirmary, Glasgow.

出版信息

Ann R Coll Surg Engl. 1990 Jul;72(4):250-2.

PMID:2382949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2499227/
Abstract

Thirty patients undergoing elective eye surgery had anaesthesia induced with sodium thiopentone, suxamethonium and d-tubocurarine chloride. Patients were ventilated with nitrous oxide, oxygen and either halothane or enflurane. The volatile agents were used to decrease the systolic blood pressure to 80 mmHg. The volatile agent concentration in the blood was measured at 30 min intervals. Both agents were effective in producing hypotension, but enflurane was the more potent hypotensive agent in terms of MAC equivalents. There was no significant differences between the agents with respect to speed of recovery.

摘要

30例接受择期眼科手术的患者采用硫喷妥钠、琥珀酰胆碱和氯化筒箭毒碱诱导麻醉。患者使用氧化亚氮、氧气以及氟烷或恩氟烷进行通气。使用挥发性麻醉剂将收缩压降至80 mmHg。每隔30分钟测量一次血液中挥发性麻醉剂的浓度。两种麻醉剂在产生低血压方面均有效,但就最低肺泡有效浓度(MAC)当量而言,恩氟烷是更强效的降压剂。两种麻醉剂在恢复速度方面无显著差异。

相似文献

1
Comparison of enflurane and halothane in hypotensive eye surgery.恩氟烷和氟烷在低血压性眼科手术中的比较。
Ann R Coll Surg Engl. 1990 Jul;72(4):250-2.
2
Hypotensive anaesthesia for microsurgery of the middle ear. A comparison between enflurane and halothane.用于中耳显微手术的低血压麻醉。安氟醚和氟烷的比较。
Anaesthesia. 1982 Oct;37(10):1028-32. doi: 10.1111/j.1365-2044.1982.tb01718.x.
3
Hypotensive anaesthesia for spine surgery--nitroglycerin vs halothane.脊柱手术的低血压麻醉——硝酸甘油与氟烷的比较
J Postgrad Med. 1993 Jan-Mar;39(1):26-8.
4
[Holter registration in ophthalmic surgery in adults. Peroperative arrhythmia under halothane or enflurane].[成人眼科手术中的动态心电图记录。氟烷或安氟醚麻醉下的术中心律失常]
Cah Anesthesiol. 1985 Jun-Jul;33(4):291-4.
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Comparison of maintenance and recovery characteristics of sevoflurane-nitrous oxide and enflurane-nitrous oxide anaesthesia.七氟醚-氧化亚氮与安氟醚-氧化亚氮麻醉维持和恢复特征的比较。
Eur J Anaesthesiol. 1995 Sep;12(5):517-23.
6
[Clinical evaluation of controlled hypotensive anesthesia with MR7S1].[MR7S1用于控制性低血压麻醉的临床评估]
Masui. 1994 Oct;43(10):1568-82.
7
Halothane and enflurane metabolite elimination during anaesthesia in man.
Eur J Anaesthesiol. 1987 May;4(3):175-82.
8
[Plasma cortisol in experimental anesthesia with halothane, enflurane, isoflurane and nitrous oxide].[氟烷、恩氟烷、异氟烷和氧化亚氮实验麻醉中的血浆皮质醇]
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9
[Circulatory changes with urapidil (Ebrantil) in general and regional anesthesia. Studies with normo- and hypertensive patients].
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Platelet aggregation during and after general anesthesia and surgery.全身麻醉及手术期间和术后的血小板聚集
Anesth Analg. 1979 Jul-Aug;58(4):293-6.

本文引用的文献

1
Effects of enflurane and halothane on liver blood flow and oxygen consumption in the greyhound.安氟醚和氟烷对灵缇犬肝脏血流及氧耗量的影响。
Br J Anaesth. 1980 Nov;52(11):1079-86. doi: 10.1093/bja/52.11.1079.
2
Hypotensive anaesthesia for microsurgery of the middle ear. A comparison between enflurane and halothane.用于中耳显微手术的低血压麻醉。安氟醚和氟烷的比较。
Anaesthesia. 1982 Oct;37(10):1028-32. doi: 10.1111/j.1365-2044.1982.tb01718.x.
3
Heart capillary permeability to lipid-insoluble molecules.心脏毛细血管对脂溶性分子的通透性。
J Physiol. 1969 May;202(1):45-58. doi: 10.1113/jphysiol.1969.sp008794.
4
A postanesthetic recovery score.麻醉后恢复评分。
Anesth Analg. 1970 Nov-Dec;49(6):924-34.
5
Determination of halothane in gas, blood, and tissues by chemical extraction and gas chromatography.通过化学萃取和气相色谱法测定气体、血液和组织中的氟烷。
Br J Anaesth. 1971 Oct;43(10):913-8. doi: 10.1093/bja/43.10.913.
6
Deliberate profound hypotension induced with halothane: studies of haemodynamics and pulmonary gas exchange.氟烷诱导的控制性深度低血压:血流动力学与肺气体交换的研究
Br J Anaesth. 1974 Feb;46(2):105-16. doi: 10.1093/bja/46.2.105.
7
Halothane and the liver: the problem revisited and made obsolete.氟烷与肝脏:问题重新审视并过时了。
Br Med J (Clin Res Ed). 1986 Jun 28;292(6537):1691-2. doi: 10.1136/bmj.292.6537.1691.