Osswald P, Schwarzbeck A, Kösters W, Lutz H
Prakt Anaesth. 1978 Jun;13(3):201-7.
A retrospective study was carried out examining the complication- and mortality-rate in 132 patients with terminal renal insufficiency who underwent major surgery: partial gastrectomy, bilateral nephrectomy and vascular surgery at the lower extremities. The anaesthetic management consisted primarily of general anesthesia and muscle relaxation except for vascular surgery at lower extremities where continuous epidural anaesthesia was used. The problems of the anaesthetic management and postoperative care including dialysis are discussed. Although this group of patients is at high risk, the complications can be kept at a minimum with appropriate anaesthetic management and postoperative care.
开展了一项回顾性研究，调查了132例终末期肾功能不全患者接受大手术（胃部分切除术、双侧肾切除术和下肢血管手术）后的并发症发生率和死亡率。麻醉管理主要包括全身麻醉和肌肉松弛，但下肢血管手术采用连续硬膜外麻醉。讨论了麻醉管理及包括透析在内的术后护理问题。尽管这类患者风险很高，但通过适当的麻醉管理和术后护理，可将并发症降至最低。
