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硝普钠诱导神经外科手术控制性动脉低血压时血压变化的动态研究

Dynamics of the blood pressure changes in sodium nitroprusside induced controlled arterial hypotension in neurosurgery.

作者信息

Trojanowski T, Lewelt W, Moszyński K

出版信息

Acta Neurochir (Wien). 1976;34(1-4):269-72. doi: 10.1007/BF01405883.

DOI:10.1007/BF01405883
PMID:961485
Abstract

Dynamics of the arterial blood pressure changes under the influence of intravenous infusion of sodium nitroprusside (SN) were studied in 12 patients operated on for intracranial aneurysms. Adequate measures were undertaken to avoid blood pressure (BP) changes due to the anaesthetic procedure itself. It was found that the speed of BP lowering corresponded to the rate of infusion, and could easily reach 10 mm Hg/min. After stopping the infusion, the BP recovery rate averaged a mean speed of 8.5 mm Hg/min, varying from 3.8 to 12 mm Hg/min. High speeds of BP lowering and recovery achieved with the use of SN are the main advantages of this hypotensive agent in neurosurgical procedures.

摘要

对12例颅内动脉瘤手术患者研究了静脉输注硝普钠(SN)影响下动脉血压变化的动态情况。采取了适当措施以避免麻醉过程本身导致的血压(BP)变化。发现血压降低速度与输注速率相对应,且很容易达到10 mmHg/分钟。停止输注后,血压恢复速率平均为8.5 mmHg/分钟,范围在3.8至12 mmHg/分钟之间。使用SN实现的高速度血压降低和恢复是这种降压药在神经外科手术中的主要优点。

相似文献

1
Dynamics of the blood pressure changes in sodium nitroprusside induced controlled arterial hypotension in neurosurgery.硝普钠诱导神经外科手术控制性动脉低血压时血压变化的动态研究
Acta Neurochir (Wien). 1976;34(1-4):269-72. doi: 10.1007/BF01405883.
2
[Sodium nitroprusside in controlled arterial hypotension during neurosurgical operations].[硝普钠在神经外科手术中控制性动脉低血压中的应用]
Neurol Neurochir Pol. 1975 May-Jun;9(3):389-92.
3
Intracranial pressure changes in neurosurgical patients during hypotension induced with sodium nitroprusside or trimetaphan.
Br J Anaesth. 1977 May;49(5):419-25. doi: 10.1093/bja/49.5.419.
4
[Deep hypotension induced by sodium nitroprusside in neurosurgery. I.--Systemic hemodynamic effects (author's transl)].
Anesth Analg (Paris). 1979 Mar-Apr;36(3-4):91-5.
5
[Deep hypotension induced by sodium nitroprusside in neurosurgery. II.--Cerebral hemodynamic effects and metabolic rate of oxygen (author's transl)].硝普钠诱发的神经外科手术中的深度低血压。II.——脑血流动力学效应及氧代谢率(作者译)
Anesth Analg (Paris). 1979 Mar-Apr;36(3-4):97-102.
6
Hypertension during anesthesia on discontinuation of sodium nitroprusside-induced hypotension.停用硝普钠诱导的低血压后麻醉期间的高血压。
Anesthesiology. 1979 Aug;51(2):127-30. doi: 10.1097/00000542-197908000-00007.
7
[Haemodynamic effects during hypotension with sodium nitroprusside neurosurgery (author's transl)].
Prakt Anaesth. 1976 Dec;11(6):378-81.
8
Nitroprusside-hypotension: cerebral blood flow and cerebral oxygen consumption in neurosurgical patients.硝普钠所致低血压:神经外科患者的脑血流量和脑氧耗量
Acta Anaesthesiol Scand. 1982 Aug;26(4):327-30. doi: 10.1111/j.1399-6576.1982.tb01775.x.
9
[Controlled hypotension in the surgery of intracranial arterial aneurysms. Comparison of sodium nitroprusside, trimethaphan and trinitroglycerin].[颅内动脉瘤手术中的控制性低血压。硝普钠、阿方那特和硝酸甘油的比较]
Minerva Anestesiol. 1983 Nov;49(11):623-9.
10
[Clinical use of sodium nitroprusside in clipping of cerebral aneurysms (author's transl)].硝普钠在脑动脉瘤夹闭术中的临床应用(作者译)
Masui. 1977 Jul;26(7):808-14.

本文引用的文献

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Hypotension with sodium nitroprusside in the surgery of cerebral aneurysms.硝普钠用于脑动脉瘤手术时的低血压情况。
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8
[Deliberate deep hypotension by arfonad or sodium nitroprusside in surgery of 66 subtentorial sacciform aneurysms].[阿方那特或硝普钠控制性低血压在66例小脑幕下囊状动脉瘤手术中的应用]
Neurochirurgie. 1974 Dec;20(7):555-64.