Sydow F W
Städtische Kliniken Kassel, Zentrale Abteilung für Anästhesie, West Germany.
Acta Chir Scand Suppl. 1989;550:159-65; discussion 165-8.
General anesthesia itself may influence postoperative lung function. It leads to a depression of the functional residual capacity, which, in combination with surgical trauma and postoperative pain, can provoke insufficient breathing, retention of bronchial secretions, and atelectasis. Regional anesthesia has no influence on lung function. After upper abdominal or thoracic surgery, postoperative epidural analgesia causes a significant increase of lung function as compared with systemic analgesia. The combination of regional anesthesia and general anesthesia intraoperatively appears to reduce lung function much less than general anesthesia alone.
全身麻醉本身可能会影响术后肺功能。它会导致功能残气量降低，这与手术创伤和术后疼痛相结合，可引发呼吸不足、支气管分泌物潴留和肺不张。区域麻醉对肺功能没有影响。在上腹部或胸部手术后，与全身镇痛相比，术后硬膜外镇痛可使肺功能显著提高。术中区域麻醉与全身麻醉联合使用似乎比单独使用全身麻醉对肺功能的降低要小得多。
