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麻醉下不同通气对脑内X线表现的影响(作者译)

[The effect of different ventilation under anaesthesia upon intracerebral x-ray findings (author's transl)].

作者信息

Heidsieck C H, Simon R S, Bradac G B, Dramburg M

出版信息

Anaesthesist. 1976 Oct;25(10):464-9.

PMID:984373
Abstract

In 35 patients carotid angiography was performed under general anaesthesia (Halothane or NLA) under hyper- and hypoventilation conditions. Hyperventilation led to arterial vasoconstriction. The changes in vessel diameter correlated with the difference from hyper- to hypoventilation. Under hypoventilation the veins were filled earlier and better. In case of tumour and in case of insult with angiographically verified blush the pathological vessels were better stained with hyperventilation. Anaesthetics did not influence the X-Ray findings. Patients should be hyperventilated during carotid angiography. Only in certain cases an angiogram under hypoventilation allows a clearer X-Ray interpretation.

摘要

对35例患者在全身麻醉(氟烷或NLA)下、过度通气和通气不足条件下进行颈动脉血管造影。过度通气导致动脉血管收缩。血管直径的变化与过度通气和通气不足之间的差异相关。通气不足时静脉充盈更早且更好。在肿瘤病例以及血管造影证实有造影剂外渗的损伤病例中,病理血管在过度通气时染色更好。麻醉剂不影响X线检查结果。颈动脉血管造影期间患者应进行过度通气。仅在某些情况下,通气不足时的血管造影能使X线解读更清晰。

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