硬膜外麻醉下经尿道前列腺切除术中枢性血流动力学的变化。

Urologiia i nefrologiia Pub Date : 1998-05-01
K N Gadzhimuradov
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引用次数: 0

摘要

研究了53例硬膜外麻醉下经尿道前列腺切除术患者的中枢性血流动力学。手术过程平稳的患者(1组)在硬膜外麻醉下有良好的血流动力学参数重排。2组患者血流动力学的特点是增加了相对低血容量的负面影响。第三组中心静脉压明显下降。这种低静脉压是由硬膜外阻滞引起的,在很大程度上促进了这些患者低钠血症的发展。
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[Changes in central hemodynamics in transurethral prostate resection under epidural anesthesia].

Central hemodynamics was studied in 53 patients divided into 3 groups who had transurethral resection of the prostate under epidural anesthesia. Patients with uneventful course of surgery (group 1) had favourable rearrangement of hemodynamic parameters in response to epidural anesthesia. In patients of group 2 hemodynamics was characterized by addition of negative effects of relative hypovolemia. A significant fall of central venous pressure was found in group 3. This low venous pressure resulted from the epidural block and contributed much to development of hyponatremia in these patients.

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