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全身麻醉对肝硬化和门静脉高压症患者门静脉压力的影响。

Influence of general anaesthesia on portal pressure in liver cirrhosis and portal hypertension.

作者信息

Burcharth F, Alsner T, Bertheussen K, Rosendal T, Nielsen S E

出版信息

Acta Anaesthesiol Scand. 1979 Jun;23(3):248-52. doi: 10.1111/j.1399-6576.1979.tb01447.x.

Abstract

In 19 patients with cirrhosis of the liver and portal hypertension, a catheter was inserted into the portal vein using a percutaneous transhepatic technique. The portal pressure was measured during general anaesthesia with and without halothane, and in the awake state. Addition of halothane to the N2O:O2 anaesthesia did not change portal venous pressure, in spite of a significant fall in arterial blood pressure. Portal venous pressure under general anaesthesia with complete muscle relaxation did not differ from the pressure in the resting, awake patient.

摘要

对19例肝硬化门静脉高压患者,采用经皮经肝技术将导管插入门静脉。在全身麻醉下,分别于使用和不使用氟烷时以及清醒状态下测量门静脉压力。在N₂O:O₂麻醉中添加氟烷,尽管动脉血压显著下降,但门静脉压力并未改变。全身麻醉下完全肌肉松弛时的门静脉压力与清醒静息患者的压力无差异。

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