Zubtsovskiĭ V N, Zavodskaia I S, Chufarov V N, Moreva E V, Sapronov N S
Vestn Khir Im I I Grek. 1979 Apr;122(4):100-5.
Peridural anesthesia in T1--T6 regions was used together with general anesthesia in closed mitral commisurotomy in 40 patients with the disease in stages 4 and 5. The study was aimed at the evaluation of the effect of peridural anesthesia upon hemodynamics, gas exchange, adrenal cortex function, energy exchange in the myocardium and the evaluation of its expediency for these patients. The authors studied hemodynamic alterations (HR, AP, CVP, MV, CBV etc.), changes of acid-base equilibrium and in the blood gases, concentration of summary 11-oxycorticosteroids in the blood plasma and of creatinophosphate in the myocardium left auricle. On the grounds of these studies the authors have come to some practically important conlusions.
对40例处于4期和5期的二尖瓣狭窄患者在闭式二尖瓣交界分离术中采用T1 - T6节段硬膜外麻醉联合全身麻醉。本研究旨在评估硬膜外麻醉对血流动力学、气体交换、肾上腺皮质功能、心肌能量交换的影响，并评估其对这些患者的适用性。作者研究了血流动力学改变（心率、动脉压、中心静脉压、心排血量、脑血流量等）、酸碱平衡及血气变化、血浆中总11 - 氧皮质类固醇浓度以及左心房心肌中磷酸肌酸浓度。基于这些研究，作者得出了一些具有实际重要意义的结论。
