Janjić I, Zuech N, Luetić V, Kruzić Z, Filipović M
Acta Chir Iugosl. 1977;24(2):195-200.
Patients with varicose complex of low extremities do not present any special problem in anaesthesiology. Method recommended is inhalational anaesthetic, eadly mobilisation of patient and infusion of low molecular dextran, during and immediately after operative procedure. During thrombectomy from deep venous system there is real danger of pulmonary embolism. This group of patients has higher risk than former, too. Authors recommended their own method for prevention of preoperative centripetal mobilization of thrombus, using a standard Recklinhausen's cuff inflated against abdominal wall under a plexiglass plate.
下肢静脉曲张患者在麻醉学方面不存在任何特殊问题。推荐的方法是采用吸入性麻醉剂,在手术过程中及术后立即让患者早期活动并输注低分子右旋糖酐。在进行深静脉系统血栓切除术时,存在肺栓塞的实际风险。这组患者的风险也比之前的患者更高。作者推荐了他们自己预防术前血栓向心性移动的方法,即在有机玻璃平板下使用标准的雷克林豪森袖带紧贴腹壁充气。