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腹主动脉肾下钳夹的一些心肺效应。

Some cardio-pulmonary effects of infra-renal clamping of the abdominal aorta.

作者信息

Askitopolou H, Young C A, Morgan M, Sykes M K

出版信息

Anaesth Intensive Care. 1978 Feb;6(1):44-8. doi: 10.1177/0310057X7800600106.

DOI:10.1177/0310057X7800600106
PMID:665976
Abstract

No significant changes were found in heart rate, blood pressure, cardiac output, arterial blood gases or physiological deadspace: tidal volume ratio before and after clamping and unclamping the abdominal aorta below the renal vessels. Nevertheless, drugs should be available to reduct the afterload on the heart if any evidence of myocardial ischaemia appears during the period of aortic clamping. The importance of maintaining an adequate circulating blood volume at all times is stressed.

摘要

在肾血管下方夹闭和松开腹主动脉前后,心率、血压、心输出量、动脉血气或生理死腔:潮气量比值均未发现显著变化。然而,如果在主动脉夹闭期间出现任何心肌缺血的迹象,应备有药物以降低心脏后负荷。强调了始终维持足够循环血容量的重要性。

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引用本文的文献

1
Physiologic Responses to Infrarenal Aortic Cross-Clamping during Laparoscopic or Conventional Vascular Surgery in Experimental Animal Model: Comparative Study.实验动物模型中腹腔镜或传统血管手术期间肾下主动脉阻断的生理反应:比较研究
Anesthesiol Res Pract. 2008;2008:581948. doi: 10.1155/2008/581948. Epub 2008 Mar 27.
2
Temporary incomplete ischemia of the legs induced by aortic clamping in man: effects on central hemodynamics and skeletal muscle metabolism by adrenergic block.人体主动脉钳夹诱导的腿部暂时性不完全缺血:肾上腺素能阻断对中心血流动力学和骨骼肌代谢的影响
Ann Surg. 1981 Jan;193(1):89-98. doi: 10.1097/00000658-198101000-00015.