Fee H J, Viljoen J F, Cukingnan R A, Canas M S
Ann Thorac Surg. 1979 Jun;27(6):519-22. doi: 10.1016/s0003-4975(10)63361-9.
Right stellate ganglion block was performed on 24 patients in whom hypertension developed after cardiopulmonary bypass. Changes in blood pressure, central venous pressure, cardiac output, and heart rate were evaluated. Most patients evidenced a decrease in systolic blood pressure (average, 40 mm Hg) and diastolic blood pressure (average, 19 mm Hg). Systemic vascular resistance was measured in 8 patients, and 7 demonstrated a decrease (average reduction, 6.7 resistance units). Changes in cardiac output were variable. Although stellate ganglion block can be safely performed and, in most patients, markedly reduces systolic blood pressure, the results suggest that other hypotensive agents may be more advantageous in the treatment of hypertension subsequent to coronary artery operation.
对24例体外循环后发生高血压的患者实施了右侧星状神经节阻滞。评估了血压、中心静脉压、心输出量和心率的变化。大多数患者的收缩压（平均降低40毫米汞柱）和舒张压（平均降低19毫米汞柱）有所下降。对8例患者测量了体循环血管阻力，其中7例有所下降（平均降低6.7个阻力单位）。心输出量的变化各不相同。虽然星状神经节阻滞可以安全实施，并且在大多数患者中可显著降低收缩压，但结果表明，在冠状动脉手术后高血压的治疗中，其他降压药物可能更具优势。
