Naumann G O, Eisert S, Gieler J, Baur K F
Klin Monbl Augenheilkd. 1977 Jun;170(6):922-5.
General anaesthesia was performed in 75 patients with difficult intraocular procedures in which the standard relaxation and hyperventilation was supplemented by controlled short-term hypotension by sodium-nitroprusside. This resulted in a significant decrease of the "vis a tergo"--e.g. the threatening prolaps of intraocular tissue. Preliminary experience revealed that intraoperative complications in these difficult situations are reduced. As this facilitates also the task of the anaesthesist this broadens our indications for complex intraocular surgery particularly in younger patients.
75例进行复杂眼内手术的患者接受了全身麻醉,术中在标准的肌肉松弛和过度通气基础上,通过硝普钠进行控制性短期低血压处理。这使得“眼后压力”显著降低,例如眼内组织有脱出风险的情况。初步经验表明,在这些复杂情况下术中并发症减少。由于这也减轻了麻醉医生的工作负担,因此拓宽了我们进行复杂眼内手术的适应症,尤其是对于年轻患者。