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尼日利亚患者在麻醉期间及术后即刻的呼吸状态。

Respiratory states of Nigerian patients during anaesthesia and in the immediate post-operative period.

作者信息

Oduntan S A

出版信息

Ghana Med J. 1971 Mar;10(1):34-9.

PMID:5173733
Abstract

The respiratory states of 36 consecutive Nigerian patients undergoing surgery and anaesthesia had been studied in the pre-operative, para-operative and post-operative periods. The respiratory function of most of the patients was quite good. In patients who received general anaesthesia, the Pa02 values were found to be significantly higher during anaesthesia than pre-operatively or post-operatively. Post-operatively the Pa02 values were slightly lower than the pre-operative values; hypoxaemia was rarely found but a few patients had Pa02 levels of 10-20 mm Hg lower than the pre-operative levels. The PaC02 levels during and after anaesthesia were within normal limits except in a few of the patients under halothane anaesthesia who showed a mild degree of hypercarbia, and a few of some of those on controlled ventilation who demonstrated hypocarbia. The pH changes paralleled the PaCO2 changes generally. The patients operated upon under epidural block, showed the least changes in blood gases.

摘要

对36例接受手术和麻醉的尼日利亚患者在术前、术中和术后的呼吸状态进行了研究。大多数患者的呼吸功能相当良好。在接受全身麻醉的患者中,发现麻醉期间的动脉血氧分压(Pa02)值明显高于术前或术后。术后Pa02值略低于术前值;低氧血症很少见,但少数患者的Pa02水平比术前低10 - 20毫米汞柱。麻醉期间及之后的动脉血二氧化碳分压(PaC02)水平在正常范围内,除了少数接受氟烷麻醉的患者出现轻度高碳酸血症,以及少数接受控制通气的患者出现低碳酸血症。pH值变化通常与PaCO2变化平行。在硬膜外阻滞下接受手术的患者,血气变化最小。

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