肝病患者

Clinics in Anaesthesiology Pub Date : 1986-07-01 DOI:10.1016/S0261-9881(21)00040-9

Burnell Brown Jr

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引用次数: 0

摘要

肝病患者给麻醉师呈现的是混乱的生理状态。这些变化是如此之大，以至于不可能用一个公式来处理所有可能的问题。首先，这些病人的手术发病率和死亡率都很高。因此，获得尽可能多的术前信息是明智的，表6概述了术前评估的“亚利桑那方案”。它提供了胶囊形式的指导方针，可以应用于正在准备进行大手术的肝硬化患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Patient with Liver Disease

The patient with liver disease presents the anaesthetist with a medley of deranged physiology. The variations are of sufficient magnitude that a formula to handle all the conceivable problems is not possible. First and foremost, these patients have a very high morbidity and mortality for surgery. Therefore it is wise to obtain as much preoperative information as possible and Table 6 outlines the 'Arizona protocol’ for preoperative evaluation. It provides, in capsule form, guidelines which can be applied to the patient with cirrhosis who is being prepared for major surgery.

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