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全身麻醉期间鼓室内压力升高导致的耳部损伤。

Ear injury caused by elevated intratympanic pressure during general anaesthesia.

作者信息

Man A, Segal S, Ezra S

出版信息

Acta Anaesthesiol Scand. 1980 Jun;24(3):224-6. doi: 10.1111/j.1399-6576.1980.tb01539.x.

DOI:10.1111/j.1399-6576.1980.tb01539.x
PMID:7445940
Abstract

Two cases of middle-ear injury, due to sharp fluctuations of intratympanic pressure as a result of general anaesthesia with nitrous oxide are presented. A study is reported indicating that the degree of these fluctuations is a function of the concentration of nitrous oxide. In order to reduce the risk of middle-ear injury due to nitrous oxide anaesthesia, it is suggested that the lowest concentration feasible should be used where there is a history of previous ear surgery.

摘要

本文报告了两例因一氧化二氮全身麻醉导致鼓室内压力急剧波动而引起的中耳损伤病例。一项研究表明,这些波动的程度是一氧化二氮浓度的函数。为降低一氧化二氮麻醉引起中耳损伤的风险,建议在有既往耳部手术史的情况下,应使用可行的最低浓度。

相似文献

1
Ear injury caused by elevated intratympanic pressure during general anaesthesia.全身麻醉期间鼓室内压力升高导致的耳部损伤。
Acta Anaesthesiol Scand. 1980 Jun;24(3):224-6. doi: 10.1111/j.1399-6576.1980.tb01539.x.
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Nitrous oxide and the middle ear.
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Negative pressure in the middle ear in children after nitrous oxide anaesthesia.儿童笑气麻醉后中耳负压
Can Anaesth Soc J. 1986 Jan;33(1):32-5. doi: 10.1007/BF03010905.
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Middle ear barotrauma in general anesthesia: special care.全身麻醉中的中耳气压伤:特别护理。
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Hearing impairment caused by intratympanic pressure changes during general anesthesia.全身麻醉期间鼓室内压力变化导致的听力损害。
Laryngoscope. 1976 Mar;86(3):399-404. doi: 10.1288/00005537-197603000-00009.
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[Intratympanic pressure changes during general anaesthesia (author's transl)].全身麻醉期间鼓室内压力变化(作者译)
Laryngol Rhinol Otol (Stuttg). 1982 Apr;61(4):196-8.
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Prediction of post-operative middle ear pressure changes after general anaesthesia with nitrous oxide.氧化亚氮全身麻醉后中耳压力变化的预测
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Tympanic membrane rupture during nitrous oxide anaesthesia.氧化亚氮麻醉期间鼓膜破裂
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[Effect of nitrous oxide inhalation anesthesia on sero-mucous secretions of the tympanum].[氧化亚氮吸入麻醉对鼓膜浆液性分泌物的影响]
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[Pressure changes in the middle ear during nitrous oxide anesthesia].[氧化亚氮麻醉期间中耳压力变化]
Minerva Anestesiol. 1991 Mar;57(3):57-62.

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Middle-ear pressure variations during total intravenous anesthesia with propofol, fentanyl, and ketamine.丙泊酚、芬太尼和氯胺酮全静脉麻醉期间的中耳压力变化
J Anesth. 1998 Mar;12(1):17-20. doi: 10.1007/BF02480760.
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Comparing the effects of desflurane and isoflurane on middle ear pressure.
比较地氟醚和异氟醚对中耳压力的影响。
Acta Otorhinolaryngol Ital. 2010 Dec;30(6):285-8.
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The effect of nitrous oxide and isoflurane on the total RNA yield from the cochlea of the rats.氧化亚氮和异氟烷对大鼠耳蜗总RNA产量的影响。
J Huazhong Univ Sci Technolog Med Sci. 2007 Oct;27(5):614-6. doi: 10.1007/s11596-007-0536-9.
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[Evaluation of tympanometric alterations in patients subject to general anesthesia with nitrous oxide].[氧化亚氮全身麻醉患者鼓室导抗图改变的评估]
Braz J Otorhinolaryngol. 2005 May-Jun;71(3):274-80. doi: 10.1016/s1808-8694(15)31323-9. Epub 2005 Dec 14.