Sokolov E A
Vestn Khir Im I I Grek. 1979 Jan;122(1):83-6.
From the analysis of 126 observations of the longlasting peridural anesthesia in elderly patients following operations on the lungs and thoracic organs the author notes a high effectiveness of the method. Anatomical peculiarities of the spine structure in elderly individuals make for a more frequent occurrence of such complications as impossibility to perform the puncture of the peridural space, puncture of the dura mater, drop of the arterial pressure etc. The frequency of complications was 23%; in 7.9% of them the medicamental treatment was needed. The use of the longlasting peridural anesthesia favoured an early motor activity of the elderly patients, a rapid normalization of the bronchial motor function and decrease of the rate of postoperative pulmonary complications. The longlasting peridural anesthesia should be widely applied in geriatric surgery.
通过对126例老年患者肺部及胸部器官手术后长效硬膜外麻醉的观察分析，作者指出该方法具有很高的有效性。老年个体脊柱结构的解剖学特点导致诸如硬膜外腔穿刺失败、硬脊膜穿刺、动脉血压下降等并发症更为频繁地发生。并发症发生率为23%；其中7.9%的患者需要药物治疗。长效硬膜外麻醉有利于老年患者早期活动、支气管运动功能迅速恢复正常以及降低术后肺部并发症的发生率。长效硬膜外麻醉应在老年外科手术中广泛应用。
