Tolksdorf W, Ditterich G, Hartung H J, Klose R, Lutz H
Prakt Anaesth. 1979 Feb;14(1):35-41.
Central venous pressure was measured in 34 persons who had transurethral prostatectomy in general or regional anaesthesia. The aim of the investigation was to ascertain to what extent measurement of the central venous pressure as a parameter of blood volume can help towards the early diagnosis of hypervolaemia caused by the leakage of irrigation fluid into the patient's circulation. During general anaesthesia blood pressure and central venous pressure reached their maximum 10 minutes later and were significantly higher than was the case in regional anaesthesia. For detecting and preventing dangerous hypervolaemia during transurethral prostatectomy in general anaesthesia routine recording of the central venous pressure is recommended. The less severe reaction during regional anaesthesia on the circulation is probably attributable to a sympathicolytic effect and peripheral pooling. The early detection of the leakage syndrome is easier in the conscious patient.
对34例接受全身麻醉或区域麻醉下经尿道前列腺切除术的患者测量了中心静脉压。该研究的目的是确定将中心静脉压作为血容量参数进行测量，在何种程度上有助于早期诊断因灌洗液漏入患者循环系统而导致的高血容量。在全身麻醉期间，血压和中心静脉压在10分钟后达到最高值，且显著高于区域麻醉时的情况。建议在全身麻醉下经尿道前列腺切除术期间常规记录中心静脉压，以检测和预防危险的高血容量。区域麻醉对循环系统的反应较轻，可能归因于交感神经阻滞作用和外周血液淤积。在清醒患者中更容易早期发现渗漏综合征。
