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外科患者术后早期生命功能抑制综合征:发病机制的若干方面

Syndrome of depressed vital functions in the immediate post-operative period of surgical patients: some aspects of its pathogenesis.

作者信息

Rao L N, Venkatakrishna-Bhatt H

出版信息

Eur J Intensive Care Med. 1976;2(1):41-3. doi: 10.1007/BF00571896.

Abstract

Fifty adult male and female surgical patients (age 25--40 years) undergoing elective and emergency surgical procedures were subjected to isocapnoeic, hypocapnoeic and hypercapnoeic ventilation during anaesthesia; the PaCO2 ranged between 22--90 mm Hg. Three developed the syndrome of depressed vital functions in the post-surgical period by scoring less than 7 out of 10, the others recovered normally with complete resotration of reflex activity, consciousness and skeletomuscular tone, scoring on an average 8 out of 10 points. The role of muscle relaxant drugs in this syndrome and also the depression of the central nervous system is discussed.

摘要

五十名接受择期和急诊手术的成年男女患者(年龄25 - 40岁)在麻醉期间接受了等碳酸血症、低碳酸血症和高碳酸血症通气;动脉血二氧化碳分压(PaCO2)范围在22 - 90毫米汞柱之间。三名患者在术后出现生命功能抑制综合征,评分低于10分中的7分,其他患者正常恢复,反射活动、意识和骨骼肌张力完全恢复,平均评分为10分中的8分。本文讨论了肌肉松弛药物在该综合征中的作用以及对中枢神经系统的抑制作用。

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