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[慢性呼吸功能不全患者肺部手术中使用各种麻醉方法的临床生理依据]

[Clinico-physiological substantiation of using various methods of anesthesia in operations on the lungs in patients with chronic respiratory insufficiency].

作者信息

Zverev V V

出版信息

Vestn Khir Im I I Grek. 1985 Jun;134(6):118-21.

PMID:4049652
Abstract

The investigation of gas exchange, central hemodynamics and real oxygen transport has shown expediency of using ether and fluothane as main anesthetic drugs in operations on the lungs in patients with a compensated form of chronic pulmonary respiratory insufficiency. Neuroleptoanalgesia decreased the operative risk as compared with ether and fluothane. A combined anesthesia with sodium hydroxybutyrate in association with drugs for NLA and tranquilizers is thought to be the method of choice in patients with a pronounced respiratory insufficiency.

摘要

对气体交换、中心血流动力学和实际氧运输的研究表明,在慢性肺呼吸功能不全代偿型患者的肺部手术中,使用乙醚和氟烷作为主要麻醉药物是适宜的。与乙醚和氟烷相比,神经安定镇痛降低了手术风险。对于有明显呼吸功能不全的患者,羟丁酸钠与神经安定镇痛药物及镇静剂联合麻醉被认为是首选方法。

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