Palmer M A
Department of Surgery, Coe Medical Center, Cody, Wyoming 82414.
Am J Surg. 1989 Mar;157(3):329-30. doi: 10.1016/0002-9610(89)90563-1.
Two hundred twenty-one patients undergoing carotid endarterectomy were studied for morbidity and mortality. Thirty-seven had general anesthesia and 138 had regional anesthesia. The two groups were similar in preoperative risk factors and were operated on by a single surgeon and similar operative teams. Patient selection was prospective in the sense that the first 37 procedures were performed with general anesthesia and the next 184, with regional anesthesia. No significant difference in incidences of death, myocardial infarction, stroke, or transient ischemic attack was found. Hospital lengths of stay were similar. The type of anesthetic used for carotid endarterectomy should be the choice of the surgeon and operative team.
对221例行颈动脉内膜切除术的患者的发病率和死亡率进行了研究。37例接受全身麻醉，138例接受区域麻醉。两组患者术前危险因素相似，由同一位外科医生和相似的手术团队进行手术。患者选择是前瞻性的，即前37例手术采用全身麻醉，接下来的184例采用区域麻醉。在死亡、心肌梗死、中风或短暂性脑缺血发作的发生率上未发现显著差异。住院时间相似。颈动脉内膜切除术所用麻醉类型应由外科医生和手术团队决定。
