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[阿法沙龙或CT 1341作为一种药物,用于在头部区域的牙科、颌面和整形手术中与恩氟烷或氟烷联合诱导平衡麻醉并伴有II型神经安定镇痛麻醉]

[Althesin or CT 1341 as a drug to induce balanced anesthesia with ethrane or fluothane associated with type II NLA in dental, maxillofacial and plastic surgery of the head area].

作者信息

Antognini F, Marchetti C, Parrilli A, Giuliani R, Romagnoli D

出版信息

Minerva Stomatol. 1979 Oct-Dec;28(4):335-46.

PMID:399996
Abstract

The Authors have tried Althesin as a medicine for the induction and maintainement of the narcosis in the stomatological, maxillo-facial and extra and intra-oral surgery. They have deduced that CT 1341 does not constitute to the anaesthetics Ethrane and Fluothane because of the anaesthetic-level instability (restlessness of the patient and clonic movements of the limbs during the most painful operations in particular). The Authors, supporters of the balanced anaesthesia, suggest using Althesin in the narcosis induction, the maintaining of which is carried on by the N.L.A. type II medicine and by the Ethrane or Fluothane. The latest ones are to be given in very small, not dangerous quantities. The Authors have so obtained a remarkable oxygenation of the patient, a ready, calm and lucid awakening without any collateral and dangerous consequences.

摘要

作者们已将阿法沙龙作为一种药物,用于口腔、颌面以及口腔内外手术中诱导和维持麻醉。他们推断,由于麻醉水平不稳定(尤其是在最疼痛的手术过程中患者躁动不安以及肢体出现阵挛性运动),CT 1341并不等同于麻醉剂恩氟烷和氟烷。作为平衡麻醉的支持者,作者们建议在麻醉诱导时使用阿法沙龙,而通过II型N.L.A.类药物以及恩氟烷或氟烷来维持麻醉。后两者应以非常小的、无危险的剂量给予。作者们由此实现了患者显著的氧合作用,患者苏醒迅速、平静且清醒,未产生任何附带的危险后果。

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