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[硬膜外麻醉下经尿道前列腺切除术期间的体温变化]

[Changes in temperature during transurethral resection of the prostate under peridural anesthesia].

作者信息

Kancir C B, Christensen F G, Klauber P V

出版信息

Ann Fr Anesth Reanim. 1985;4(4):355-9. doi: 10.1016/s0750-7658(85)80105-2.

Abstract

Superficial and central body temperatures were measured during anaesthesia and recovery in eleven elderly patients undergoing transurethral resection under epidural anaesthesia. A significant decrease in central body temperature as measured on the tympanic membrane was found during surgery. After a significant increase during induction of anaesthesia, mean skin temperature remained stable throughout surgery. Mean body temperature calculated from central body temperature and mean skin temperature decreased significantly during surgery. During recovery, all temperatures increased significantly. But mean body temperature returned to normal faster than central body temperature. Routine monitoring of core temperature and the use of warmed irrigation fluids are recommended during transurethral resections in elderly patients.

摘要

对11例接受硬膜外麻醉下经尿道切除术的老年患者在麻醉和恢复过程中测量了体表温度和中心体温。手术期间发现鼓膜测量的中心体温显著下降。麻醉诱导期间显著升高后,平均皮肤温度在整个手术过程中保持稳定。根据中心体温和平均皮肤温度计算的平均体温在手术期间显著下降。恢复过程中,所有体温均显著升高。但平均体温比中心体温恢复正常的速度更快。建议在老年患者经尿道切除术中常规监测核心体温并使用温热的冲洗液。

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