Shchegolev A V, Baranenko Iu M, Gaĭsin R R
Anesteziol Reanimatol. 1998 Mar-Apr(2):44-7.
Relationship between total systems and cerebral (assessed by dopplerography) hemodynamics was studied in patients with bulky formations of the brain during total anesthesia. The hemodynamic type of circulation and the direction of hemodynamic reactions during surgery and anesthesia corresponded to the preoperative values. The hypokinetic type of circulation in such patients, who are to be operated on in the lying posture, and alteration of the circulation type during the preoperative head-down tilt in the patients to be operated on in the sitting posture refers them to a group at a high risk of postoperative complications.
在全身麻醉期间,对患有大脑大块病变的患者研究了全身系统与脑血流动力学(通过多普勒超声检查评估)之间的关系。手术和麻醉期间的血流动力学循环类型及血流动力学反应方向与术前值相符。对于需仰卧位手术的此类患者的低动力型循环,以及对于需坐位手术的患者术前头低位倾斜期间循环类型的改变,提示他们属于术后并发症高风险组。