Aitkenhead A R
Br J Anaesth. 1984 Jan;56(1):95-101. doi: 10.1093/bja/56.1.95.
Many factors influence the outcome after surgery of the bowel. However, care in anaesthetic and postoperative management may help to reduce the frequency of complications. Such care can be directed at maintenance of or improvement in oxygen delivery to the bowel by the avoidance of hypoxia, hypocapnia and hypovolaemia, and by careful selection of drugs and techniques used during anaesthesia. Tension on anastomoses can be reduced by care in the administration of neostigmine, and possibly by the use of pethidine rather than morphine for analgesia during and after operation. Postoperative ileus may be affected by sedative and analgesic therapy.
许多因素会影响肠道手术后的结果。然而，麻醉和术后管理中的细心护理可能有助于减少并发症的发生频率。这种护理可以通过避免低氧血症、低碳酸血症和低血容量，以及在麻醉期间仔细选择使用的药物和技术，来维持或改善肠道的氧输送。通过小心使用新斯的明，以及在手术期间和术后使用哌替啶而非吗啡进行镇痛，可能会减少吻合口的张力。术后肠梗阻可能会受到镇静和镇痛治疗的影响。
