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[肺癌、食管癌及贲门癌患者在麻醉和手术影响下外周血流的变化]

[Changes of peripheral blood flow in patients with cancer of the lungs, esophagus and cardia under the effect of anesthesia and surgery].

作者信息

Frid I A, Stoliarov V I, Evtiukhin A I, Bernshteĭn M I, Fadeev N P

出版信息

Vestn Khir Im I I Grek. 1976 Jun;116(6):84-8.

PMID:969162
Abstract

The authors report the data on changes in peripheral circulation, depending on the kind of anesthesia, the amount of operative blood loss, alterations in circulating blood volume and localization of tumor in patients with cancer of the lung, esophagus and cardia. Totally, 35 patients (15--lung cancer, 10--esophageal cancer, 10--cancer of the cardia) were explored. In 25 cases fluothane was used as the main anesthetic, in 10--neuroleptanalgesia. The state of peripheral circulation was estimated by the period semielimination of radioactive xenon-133 from the muscle depot. It was found that alterations in peripheral circulation were not dependent on tumor localization, the use of fluothane and neuroleptanalgesia is associated with similar changes in peripheral blood flow and, finely, an increased loss of blood results in more pronounced alterations in peripheral circulation.

摘要

作者报告了关于肺癌、食管癌和贲门癌患者外周循环变化的数据,这些变化取决于麻醉类型、术中失血量、循环血容量的改变以及肿瘤的位置。总共对35例患者(15例肺癌、10例食管癌、10例贲门癌)进行了研究。25例患者以氟烷作为主要麻醉剂,10例采用神经安定镇痛麻醉。通过放射性氙 - 133从肌肉储存库中的半消除期来评估外周循环状态。结果发现,外周循环的改变不取决于肿瘤位置,使用氟烷和神经安定镇痛麻醉对外周血流有相似的影响,最后,失血量增加会导致外周循环更明显的改变。

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